Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees

Background: This study deals with the factors influencing contralateral lower limb amputations among unilateral dysvascular transfemoral and transtibial amputees. Aim: (1) Early identification of risk factors responsible for amputations in contralateral lower limb. (2) To determine the preventive me...

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Main Authors: Ambikaveni Muthusamy, P. Thirunavukkarasu, A. Rajakumar, K. Chitrarasu, R. M. Kamakshi, K. Premalatha, A. Guna
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-05-01
Series:Indian Journal of Physical Medicine & Rehabilitation
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpmr.ijpmr_23_24
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author Ambikaveni Muthusamy
P. Thirunavukkarasu
A. Rajakumar
K. Chitrarasu
R. M. Kamakshi
K. Premalatha
A. Guna
author_facet Ambikaveni Muthusamy
P. Thirunavukkarasu
A. Rajakumar
K. Chitrarasu
R. M. Kamakshi
K. Premalatha
A. Guna
author_sort Ambikaveni Muthusamy
collection DOAJ
description Background: This study deals with the factors influencing contralateral lower limb amputations among unilateral dysvascular transfemoral and transtibial amputees. Aim: (1) Early identification of risk factors responsible for amputations in contralateral lower limb. (2) To determine the preventive measures of the concerned risk factors. (3) The aim of this study was to determine the risk factors associated with, contralateral amputation in patients with chronic limb threatening ischaemia (CLTI). Study Design: Cross-sectional study, 45 patients with unilateral transfemoral and transtibial amputees due to diabetes and peripheral arterial disease (PAD) were recruited for this study. Materials and Methods: Analysis of risk factors by ankle-brachial index (ABI), Claudication Pain Scale. Results: Unilateral transfemoral and transtibial amputees due to diabetic foot syndrome and PAD are at 2–4 times increased risk for contralateral lower-limb amputations. Conclusions: Risk of anticipated contralateral limb amputation is high based on ABI and Claudication Pain Scale. All patients, but particularly those at increased risk, should undergo close surveillance and counselling to help prevent subsequent amputations in their contralateral lower extremity.
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issn 0973-2209
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publishDate 2024-05-01
publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Physical Medicine & Rehabilitation
spelling doaj-art-65a52bd0134a4e11ae8820da2fbc09ad2025-08-20T01:58:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Physical Medicine & Rehabilitation0973-22092949-80582024-05-0134215215410.4103/ijpmr.ijpmr_23_24Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial AmputeesAmbikaveni MuthusamyP. ThirunavukkarasuA. RajakumarK. ChitrarasuR. M. KamakshiK. PremalathaA. GunaBackground: This study deals with the factors influencing contralateral lower limb amputations among unilateral dysvascular transfemoral and transtibial amputees. Aim: (1) Early identification of risk factors responsible for amputations in contralateral lower limb. (2) To determine the preventive measures of the concerned risk factors. (3) The aim of this study was to determine the risk factors associated with, contralateral amputation in patients with chronic limb threatening ischaemia (CLTI). Study Design: Cross-sectional study, 45 patients with unilateral transfemoral and transtibial amputees due to diabetes and peripheral arterial disease (PAD) were recruited for this study. Materials and Methods: Analysis of risk factors by ankle-brachial index (ABI), Claudication Pain Scale. Results: Unilateral transfemoral and transtibial amputees due to diabetic foot syndrome and PAD are at 2–4 times increased risk for contralateral lower-limb amputations. Conclusions: Risk of anticipated contralateral limb amputation is high based on ABI and Claudication Pain Scale. All patients, but particularly those at increased risk, should undergo close surveillance and counselling to help prevent subsequent amputations in their contralateral lower extremity.https://journals.lww.com/10.4103/ijpmr.ijpmr_23_24amputeesankle-brachial indexperipheral arterial diseasetransfemoraltranstibial
spellingShingle Ambikaveni Muthusamy
P. Thirunavukkarasu
A. Rajakumar
K. Chitrarasu
R. M. Kamakshi
K. Premalatha
A. Guna
Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
Indian Journal of Physical Medicine & Rehabilitation
amputees
ankle-brachial index
peripheral arterial disease
transfemoral
transtibial
title Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
title_full Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
title_fullStr Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
title_full_unstemmed Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
title_short Factors Determining Risk of Contralateral Lower Limb Amputations in Unilateral Dysvascular Transfemoral and Transtibial Amputees
title_sort factors determining risk of contralateral lower limb amputations in unilateral dysvascular transfemoral and transtibial amputees
topic amputees
ankle-brachial index
peripheral arterial disease
transfemoral
transtibial
url https://journals.lww.com/10.4103/ijpmr.ijpmr_23_24
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