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.