The effect of body weight and age on frequency of repairs in lower-limb prostheses

J Rehabil Res Dev. 2001 Jul-Aug;38(4):375-7.

Abstract

Introduction: Overweight patients sometimes present a practical problem for provision of lower-limb prostheses. Most information about the effect of body weight on the endurance of prostheses is based on laboratory tests. This is a retrospective study based on an audit to study the effect of body weight and age on the frequency of repairs.

Subjects: One hundred and sixteen patients were involved (98 male), age 16-96 years, mean=58.7 years; weight 47-140 kg, mean=88 kg; 68 were transtibial amputees and 48 were transfemoral amputees. Causes of amputation were trauma (49), peripheral vascular disease (29), and others (38). Amputation was done 1-66 years prior to assessment, mean=13.66 years. Period of use of current prostheses was 0.5-28 years, mean=3.5 years.

Results: One hundred and one repairs were done in a period of 6 months. The number of repairs was found to correlate significantly with weight (P value<0.001) and inversely with age (P value=0.003). No significant correlation was found between repairs and gender, cause of amputation, or level of amputation.

Conclusion: Body weight and age of amputee are determining factors in the frequency of repairs of lower-limb prostheses. However, a larger study for a longer period will be needed to confirm our finding.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Amputation, Surgical / rehabilitation
  • Artificial Limbs*
  • Body Weight
  • Confidence Intervals
  • Female
  • Humans
  • Incidence
  • Leg
  • Male
  • Middle Aged
  • Obesity / complications*
  • Probability
  • Prosthesis Failure*
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors