Dutch evidence-based guidelines for amputation and prosthetics of the lower extremity: Amputation surgery and postoperative management. Part 1

Jan Geertzen*, Harmen Van Der Linde, Kitty Rosenbrand, Marcel Conradi, Jos Deckers, Jan Koning, Hans S. Rietman, Dick Van Der Schaaf, Rein Van Der Ploeg, Johannes Schapendonk, Ernst Schrier, Rob Smit Duijzentkunst, Monica Spruit-Van Eijk, Gerbrig Versteegen, Harrie Voesten

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

28 Citations (Scopus)
45 Downloads (Pure)

Abstract

Background: Surgeons still use a range of criteria to determine whether amputation is indicated. In addition, there is considerable debate regarding immediate postoperative management, especially concerning the use of 'immediate/delayed fitting' versus conservative elastic bandaging. Objectives: To produce an evidence-based guideline for the amputation and prosthetics of the lower extremities. This guideline provides recommendations in support of daily practice and is based on the results of scientific research and further discussions focussed on establishing good medical practice. Part 1 focuses on amputation surgery and postoperative management. Study design: Systematic literature design. Methods: Literature search in five databases. Quality assessment on the basis of evidence-based guideline development. Results: An evidence-based multidisciplinary guideline on amputation and prosthetics of the lower extremity. Conclusion: The best care (in general) for patients undergoing amputation of a lower extremity is presented and discussed. This part of the guideline provides recommendations for diagnosis, referral, assessment, and undergoing amputation of a lower extremity and can be used to provide patient information. Clinical relevance This guideline provides recommendations in support of daily practice and is based on the results of scientific research and further discussions focussed on establishing good medical practice.

Original languageEnglish
Pages (from-to)351-360
Number of pages10
JournalProsthetics and orthotics international
Volume39
Issue number5
DOIs
Publication statusPublished - 1 Oct 2015

Keywords

  • Orthopaedic surgery
  • pain research
  • rehabilitation
  • n/a OA procedure

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