ASSESSMENT OF LONG-TERM OUTCOMES FOLLOWING EARLY PROSTHETIC FITTING AND MEDICAL AND SOCIAL REHABILITATION IN PATIENTS AFTER TRANSFEMORAL AMPUTATION

This article presents a comparative analysis of outcomes in 96 patients who underwent early and conven­tional prosthetic fitting following transfemoral amputation, as well as comprehensive rehabilitation at the National Center for Rehabilitation and Prosthetics for Persons with Disabilities during the period from 2011 to 2025. The out­comes were assessed one year after early prosthetic fitting and medical and social rehabilitation in patients following transfemoral amputation.

Of the 96 patients, 53 underwent primary prosthetic fitting using the conventional approach three months after amputation, followed by participation in a rehabilitation program. In the remaining 43 patients, prosthetic fitting was performed using an early prosthetic fitting technology, while comprehensive rehabilitation interventions were initiated at an early stage after amputation.

The outcomes of prosthetic fitting and comprehensive rehabilitation were assessed by the authors using the developed “Program for Comprehensive Assessment of Medical, Social, and Vocational Rehabilitation of Patients after Prosthetic Fitting of a Transfemoral Stump” (DGU No. 27183 dated September 2, 2023) at follow-up intervals of 3 months, 6 months, and 1 year.

The main advantage of the proposed program is the comprehensive assessment of prosthetic users based on their individual rehabilitation program, which enables an objective evaluation of patients’ quality of life, social and daily functioning, and work capacity.