Dating after arm amputation
Up to 75% of dysvascular amputees have cardiac disease and the leading cause of death after a LEA due to PAD is a cardiovascular disease.
Surgical intervention for a patient over 65 with co-morbidities for any reason is dangerous.
The Geriatric Amputee can describe two types of people - someone who undergoes a lower extremity amputation (LEA) after the age of 65, and someone who had a LEA at a younger age, but is now over 65.
Because 75% of all LEA occur in patients over 65, this article will refer to this population of geriatric amputees The most significant distinguishing factor of the Geriatric Amputee is their overall health and function prior to having an amputation.
However, if one compares the energy expenditure of an unilateral amputee walking with a walker stepping with only their intact limb to the same unilateral amputee walking with a walker and a prosthetic limb and their intact limb, it makes sense that assisted bipedal gait with the prosthesis and walker is more effective and efficient.
It is important to make a comparison relative to that patient’s specific functional gains.
The leading cause of LEA in patients over 65 is severe peripheral artery disease (PAD) - with or without diabetes.
Although PAD is a local problem causing the ischemic event, vascular disease is a systemic disease affecting arterial function in the heart, brain, and kidneys.
This project, and the currently under review prosthetic, forms part of a larger ambition to develop brain-controlled devices with an eye to restoring motor function to patients.
The future of this field is both exciting and gruesome in equal measures with the inevitable outcome making them fully integrated into your body.
The unique characteristic of the prosthetic: Unlike other advanced prosthetics this one is directly controlled by the wearer's neural activity Availability date/Price: Currently undergoing a year's testing by a patient in Florida The Johns Hopkins Applied Physics Lab, in conjunction with DARPA, are currently testing a mind-control robotic prosthetic.
The presence of medical co-morbidities has also been found to be an indicator of prosthetic success.
This increase in energy expenditure sounds unsurmountable for the geriatric amputee.