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Rehabilitacion (Madr) ; 58(3): 100850, 2024.
Artículo en Español | MEDLINE | ID: mdl-38705100

RESUMEN

INTRODUCTION: The presence of different complications whilst follow-up amputee patients reaches 10-80%. The main objective of this research is to assess the impact of these in the return-to-work of lower-limb traumatic amputation cases. MATERIALS AND METHODS: A retrospective cohort research was carried out. Clinic-demographic variables information was recollected in order to assess its linkage to different medical-surgical complications and functional outcomes. Survival curves were created to evaluate the return-to-work of patients with and without complications. RESULTS: A total of 46 patients, on average aged 45.7 years old (91.3% men, 71.7% without comorbidities), were included on this research. The most frequent level of amputation was transtibial (65.2%). Residual limb pain, phantom pain, dermatological-infectious complications and painful neuroma were registered in 80.4%, 58.7%, 50% y 30.4% of the cases respectively. Half of the patients had returned to their workplace after 2years of post-surgical follow-up. The return-to-work rates were significantly lower in patients suffering from residual limb pain (p=0.0083) and from painful neuroma (p=0.0051). CONCLUSION: Complications are frequent during traumatic-amputee patients' follow-up and, some of them, may impact on the return-to-work rate.


Asunto(s)
Amputación Quirúrgica , Miembro Fantasma , Complicaciones Posoperatorias , Reinserción al Trabajo , Humanos , Masculino , Persona de Mediana Edad , Femenino , Reinserción al Trabajo/estadística & datos numéricos , Estudios Retrospectivos , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/epidemiología , Adulto , Miembro Fantasma/etiología , Estudios de Seguimiento , España , Extremidad Inferior/cirugía , Extremidad Inferior/lesiones , Amputación Traumática/complicaciones , Neuroma/etiología , Estudios de Cohortes , Anciano
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