Persons with lower-limb amputation experience changes in the volume of their residual limb that can affect the fit of the prosthetic socket as well as the strategies prescribed to accommodate these changes. The purpose of this literature review was to assess what we know about measurement and management of residual limb volume change in persons with lower-limb amputation. We identified 162 articles, with 52 selected for review based on inclusion criteria. While we can draw some insights from the available research about residual limb volume measurement and management, further research is required. However, we can say with a moderate level of confidence that in persons with transtibial amputation, generalized postoperative residual limb edema decreases over time, with rate of reduction slowing over time; time to first fitting of transtibial prosthesis is variable based on measurements of residual limb volume; and rigid and semirigid dressings control postoperative residual limb edema better than soft elastic bandages.
Volume 48 Number 8, 2011
Pages 949 — 986
Last Reviewed or Updated Friday, October 14, 2011 9:36 AM