Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 7, 2014
   Pages 1119 — 1126

Abstract — Reduction of residual limb volume in people with transtibial amputation

Audrey T. Tantua, MD;1 Jan H. B. Geertzen, MD, PhD;1* Jan J. A. M. van den Dungen, MD, PhD;2 Jan-Kees C. Breek, MD, PhD;3 Pieter U. Dijkstra, PhD1,4

1Department of Rehabilitation Medicine, University Medical Center Groningen, Center for Rehabilitation, Groningen, the Netherlands; 2Department of Vascular Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 3Department of Surgery, Martini Hospital Groningen, Groningen, the Netherlands; 4Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands

Abstract — The early postoperative phase after transtibial amputation is characterized by rapid residual limb volume reduction. Accurate measurement of residual limb volume is important for the timing of fitting a prosthesis. The aim of this study was to analyze the reduction of residual limb volume in people with transtibial amputation and to correlate residual limb volume with residual limb circumference. In a longitudinal cohort study of 21 people who had a transtibial amputation, residual limb volume was measured using a laser scanner and circumference was measured using a tape measure 1 wk postamputation and every 3 wk thereafter until 24 wk postamputation. A linear mixed model analysis was performed with weeks postamputation transformed according to the natural logarithm as predictor. Residual limb volume decreased significantly over time, with a large variation between patients. Residual limb volume did not correlate well with circumference. On average, residual limb volume decreased 200.5 mL (9.7% of the initial volume) per natural logarithm of the weeks postamputation. The decrease in residual limb volume following a transtibial amputation was substantial in the early postamputation phase, followed by a leveling off. It was not possible to determine the specific moment at which the residual limb volume stabilized.

Key words: amputation, fluctuation, laser scanner, longitudinal study, lower limb, measurements, rehabilitation, residual limb, residual limb volume, transtibial.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.7

This article and any supplementary material should be cited as follows:
Tantua AT, Geertzen JH, van den Dungen JJ, Breek JC, Dijkstra PU. Reduction of residual limb volume in people with transtibial amputation. J Rehabil Res Dev. 2014; 51(7):1119–26.
http://dx.doi.org/10.1682/JRRD.2013.11.0243
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