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Enhancing Quality of Life and Satisfaction through Prosthetic Intervention: A Prospective Study on Lower Limb Amputee Patients

DOI: 10.4236/oalib.1111164, PP. 1-14

Subject Areas: Surgery & Surgical Specialties, Kinesiology

Keywords: Amputation, Lower Limb, Prosthetic, Quality of Life, Satisfaction

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Abstract

Background: Limb amputation is a surgical procedure performed out of necessity, resulting in severe disability, poor quality of life (QOL), and poor socio-professional reintegration. We aimed to assess the QOL of patients with lower limb amputations before and after having their prosthesis and to evaluate their satisfaction at the first consultation and 6 months later. Methods: A prospective study was held for 1 year, involving patients with lower limb amputations. We evaluated and followed the QOL using the scale (Sf-36), the functional fate (walking range, SIGAM), the pain scale (VAS), and satisfaction with their equipment (SAT-PRO). Results: Thirty-five lower limb amputee patients were included. Twenty patients had diabetes (57.14%) and 4 patients (11.43%) had an arterial disease. Infectious etiology was the most frequent cause of amputation in our series (40%) and trans-tibial amputation was the most represented type of amputation (74.29%). We observed a significant improvement (p < 0.01) in the QOL, functional outcomes after amputation, immediately after prosthesis fitting, and 6 months afterward as well as satisfaction with their prosthesis in 2 evaluations. A significant association was noted between QOL and age, level and the indication of the amputation, the time between amputation and prosthesis fitting, pain (VAS), and functional outcomes (p < 0.01). We also noted a significant relationship between satisfaction with the prosthesis and certain socio-demographic characteristics (age, socio-economic level, presence of medical history, urban area), clinical characteristics (level and indication of amputation, pain intensity), functional evolution, and QOL (p < 0.01). Conclusion: The acquisition of prostheses is a determining factor in improving lower limb amputees’ QOL and satisfaction.

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Migaou, H. , Kalai, A. , Ameur, A. , Boudokhane, S. , Jellad, A. and Frih, Z. B. S. (2024). Enhancing Quality of Life and Satisfaction through Prosthetic Intervention: A Prospective Study on Lower Limb Amputee Patients. Open Access Library Journal, 11, e1164. doi: http://dx.doi.org/10.4236/oalib.1111164.

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