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The majority of amputations in the western world today are due to
vascular disease. Despite the advances in surgical treatment of
this disease, particularly by reconstruction, it is a sad fact that
the number of amputations performed in these countries each year
for vascular disease is increasing. Most of these amputees are
elderly and their life expectancy is short, so it is important that
the treatment and rehabilitation that they receive is informed,
appropriate, efficient and swift to enable them to return
successfully to life in the community for their remaining years.
Management of this group of patients has proved to be successful
only if a multidisciplinary team approach is adopted. Until
recently in the UK, this approach sadly has only been implemented
by a few centres. However, with the publication of the McColl
report into the prosthetic and wheelchair service in 1986, interest
in the care of the amputee is growing throughout the country. This
book covers all aspects of amputation from disease and diagnosis to
rehabilitation and community discharge with emphasis on the man
agerneut of the largest group, the vascular lower limb amputee. A
team approach is described and emphasized as being essential for
good results and subsequent successful return into the community.
The role of each of the important disciplines is described in
relation to the appropriate part of the rehabilitation phase."
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