Comprehensive rehabilitation on   amputation patients after crush     injuries sustained during the        Wenchuan earthq...
Objective  To investigate the use of comprehensive rehabilitation on amputation patients’  stumps after crushing injuries ...
Method  Sixty eight amputation patients.      wound care,      maintenance of correct limb position,      stump shaping...
No.(rate)amputation Position:     shoulder                         2(2.70%)      arm                             9(12.16%)...
Cases   RatioHealed                   56    75.68%Non-healed                6    8.11%Swelling disappeared     38    51.35...
Results   Fifty six stumps (75.68%) healed in an average time of 78.88 ± 17.73 days,   swelling was eliminated in 38 stump...
Conclusions  The incidence of adverse amputation stumps after the earthquake crushing was  high. Comprehensive rehabilitat...
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He.comprehensive rehab of amputation patients after crush injuries sustained during the wenchuan eq crdr.disaster.symp.isprm11

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He.comprehensive rehab of amputation patients after crush injuries sustained during the wenchuan eq crdr.disaster.symp.isprm11

  1. 1. Comprehensive rehabilitation on amputation patients after crush injuries sustained during the Wenchuan earthquakeHE HONG-CHEN M.D.DEPARTMENT OF REHABILITATION MEDICINEWEST CHINA HOSPITAL, SICHUAN UNIVERSITY
  2. 2. Objective To investigate the use of comprehensive rehabilitation on amputation patients’ stumps after crushing injuries sustained during the Wenchuan earthquake.
  3. 3. Method Sixty eight amputation patients.  wound care,  maintenance of correct limb position,  stump shaping,  exercise,  ultraviolet,  infrared,  paraffin,  electrical nerve stimulation therapies,  audio electrotherapy,  joint mobilization,  massage.
  4. 4. No.(rate)amputation Position: shoulder 2(2.70%) arm 9(12.16%) forearm 3(4.05%) hip 2(2.70%) thigh 33(44.59%) calf 23(31.10%) foot 2(2.70%)Interval time between Injury and 4(18.19%)operation: 15(68.19%) 36 h 9(56.25%) 48 h 3(18.75%) ≥ 72 h 2(12.5%)Complications 1(6.25%)Acute renal failure(ARF) 1(6.25%)Acute respiratory distress syndrome 1(6.25%)(ARDS)Acute left ventricular failureHypoxic ischemia(H/I)ARF+ ARDS
  5. 5. Cases RatioHealed 56 75.68%Non-healed 6 8.11%Swelling disappeared 38 51.35%Joint contracture 24 32.43%
  6. 6. Results Fifty six stumps (75.68%) healed in an average time of 78.88 ± 17.73 days, swelling was eliminated in 38 stumps (51.35%). Only six stumps (8.11%) did not heal during a mean of ≥ 90days (range, 90 - 237) and 24 stumps (32.43%) had joint contractures.
  7. 7. Conclusions The incidence of adverse amputation stumps after the earthquake crushing was high. Comprehensive rehabilitation had a positive effect on promoting wound healing, eliminating of stump pain, recovering limb function, improving daily living function, sociability in amputees, and creating the necessary conditions for prosthetic limbs and future gait training.
  8. 8. Thanks for your attention!

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