Bilateral transtibial/transfemoral amputee
to be used as a prosthetic intervention for bilateral transfemoral ..
A significantly higher proportion of veterans with amputation at the hip, transfemoral, and knee levels was found to use wheelchairs. The veterans using prostheses primarily had lower-level amputations (transtibial and foot amputation). Our results were consistent with those in the literature, indicating an indirect relation between level of amputation and energy efficiency, since individuals with transfemoral amputation require significantly higher levels of energy expenditure during activities than individuals with transtibial amputation . Our study, in fact, was based on self-reported use of wheelchairs and prostheses. We must determine the cause-and-effect relationship between amputation level, metabolic cost, and selection of mobility device in future longitudinal studies by means of objective assessments in addition to subjective responses.
Bilateral transtibial/transfemoral amputee! - …
Of the participants, 12 (46%) had bilateral transtibial amputations (BTTA) and made up the highest proportion of subjects, 7 (27%) had BTFA, and 7 (27%) had combination transtibial/transfemoral amputation (TTA/TFA). Mean height was 182.0 ± 7.7 cm and mean mass including prosthesis was 91.0 ± 18.6 kg (). Eight (30%) subjects were retired from the military, eight (30%) were under Active Duty nondeployed status, two (7%) were under Active Duty deployed status, and eight (30%) had completed skilled rehabilitation and were awaiting disposition. No significant difference existed between groups in age, height, and time since initial injury. Significant differences in body mass were found between the groups. Participants with BTTA and TTA/TFA were significantly heavier than those with BTFA, but differences in body mass were not found between participants with BTTA and TTA/TFA.