Rehabilitation and Prosthetic Intervention/Prosthetic Pathways in Managing the Dysvascular Patient

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According to the American Diabetes Association, each year more than 56,000 amputations are performed on people with diabetes. Diabetes has no cure, and indications are that the number of people affected by this disease will continue to climb. Diabetic individuals have an increased chance of developing peripheral vascular disease (PVD) and nerve damage leading to amputation.1 It is estimated that 90% of limb amputations in the Western world are a consequence of PVD/diabetes.2 For these reasons, it is imperative that prosthetic practitioners educate themselves about the most appropriate pathways to follow when treating the dysvascular patient. This article addresses the prosthetist's treatment options when working with a dysvascular individual and includes discussions concerning postoperative removable semirigid dressings, preparatory prostheses, and definitive prosthetic prescription. Patient education and the clinical team approach are also included as important issues affecting the rehabilitation of the dysvascular amputee.

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