Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/17533
Title: Review: Hemodynamic studies for lower limb amputation and rehabilitation
Authors: Dong, R
Jiang, W
Zhang, M
Leung, A
Wong, MS
Keywords: Amputation
Blood flow
Deep tissue injury
Ischemia
Lower limb
Muscle atrophy
Preoperative assessment
Pressure ulcer
Rehabilitation
Residual limb
Surgical techniques
Vascular
Vessels
Issue Date: 2015
Publisher: World Scientific Publishing Co. Pte Ltd
Source: Journal of mechanics in medicine and biology, 2015, v. 15, no. 4, 1530005 How to cite?
Journal: Journal of Mechanics in Medicine and Biology 
Abstract: No matter what the reason and level of amputation are, amputees will face many complex postoperative problems and potential complications. From the perioperative stage to lengthy rehabilitation process, patients need comprehensive and cautious therapies to help them rebuild their physical and mental health. Although there is some scattered information, the achievements of hemodynamic study for lower limb amputation and rehabilitation have not been systematically classified and summarized. The purpose of this review is to introduce and discuss the hemodynamic issues in preoperative diagnosis, surgical techniques and postoperative problems in the past two decades. Whether from clinical or biomechanical perspective, the investigations of the former two stages have been relatively mature and gained some clear outcomes, even if some conclusions are conflicting and controversial. While in terms of the postoperative problems, such as the common pressure ulcers, DTI and muscle atrophy, there is a lack of vascular or blood flow state studies specifically for lower residual limb. Therefore, the future research focus of hemodynamics for lower limb amputation should probably be the detailed investigations on the relationships between various blood flow parameters and certain common complications. Although hemodynamic research has made some achievements at this stage, it is believed that more advanced and reliable techniques are pending for further explorations and developments.
URI: http://hdl.handle.net/10397/17533
ISSN: 0219-5194
DOI: 10.1142/S0219519415300057
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