Towards less amputations in diabetic patients: Incidence, causes, cost, treatment, and prevention—a review

References

• Adamson U, Ericsson A, Larsson Y, Östman J. On the Saint Vincent declaration. In Swedish. (Konsensus i Europa- allmänna mål och femårsprogram: Saint Vin-cent-deklarationen för bättre diabetesvås rd). Läkartidningen 1991; 88(28-29)2464–5
   Google Scholar
• Akanji A O., Bella A F., Agbedana E O., Osotiimehin B O., Adetuyibi A. Risk factors for the development of foot lesions in Nigerian patients with diabetes mellitus. East Afr Med J 1988; 5: 602–8
   Google Scholar
• Alffram P A., Holmqvist P. Lower extremity amputations. (In Swedish). Nord Med 1961; 65: 356–9
   PubMedGoogle Scholar
• Apelqvist J, Agardh C-D. The association between clinical risk factors and outcome of diabetic foot ulcers. Diabetes Res Clin Pract 1992; 18: 43–53
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Castenfors J, Larsson J, Stenstrom A, Agardh C-D. Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer. Diabetes Care 1989a; 12(6)373–8
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Castenfors J, Larsson J, Stenström A, Agardh C-D. Wound classification is more important than site of ulceration in the outcome of diabetic foot ulcers. Diabet Med 1989b; 6: 526–30
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Larsson J, Agardh C-D. The influence of external precipitating factors and peripheral neuropathy on the development and outcome of diabetic foot ulcers. J Diab Compl 1990a; 4(1)21–5
   PubMedGoogle Scholar
• Apelqvist J, Larsson J, Agardh C-D. The importance of peripheral pulses, peripheral oedema and local pain for the outcome of diabetic foot ulcers. Diabet Med 1990b; 7: 590–4
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Larsson J, Agardh C-D. Medical risk factors in diabetic patients with foot ulcers and severe peripheral vascular disease and their influence on outcome. J Diab Compl 1992; 6: 167–74
   Google Scholar
• Apelqvist J, Larsson J, Agardh C-D. Long-term prognosis for diabetic patients with foot ulcers. J Int Med 1993; 233: 485–91
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Ragnarson-Tennvall G, Persson U, Larsson J. Diabetic foot ulcers- an economic analysis of primary healing and healing with amputation. J Int Med 1994a; 235: 463–71
   PubMed Web of Science ®Google Scholar
• Apelqvist J, Ragnarson-Tennvall G, Larsson J, Persson U. Long-term costs for diabetic foot ulcers in a multidisci-plinary setting. 1994b, Submitted
   Google Scholar
• Assal J P., Muhlhauser I, Pernat A, Gfeller R, Jorgens V, Berger M. Patient education as the basis for diabetes care in clinical practice. Diabetologia 1985; 28: 602–13
   PubMed Web of Science ®Google Scholar
• Bailey T S., Yu H H., Rayfield E J. Patterns of foot examination in a diabetes clinic. Am J Med 1985; 78: 371–4
   PubMed Web of Science ®Google Scholar
• Bengtson S, Borgqvist L, Lidgren L. Cost analysis of prophylaxis with antibiotics to prevent infected knee arthroplasty. Br Med J 1989; 299: 719–20
   PubMed Web of Science ®Google Scholar
• Bild D E., Selby J V., Sinnock P, Browner W S., Braveman P, Showstack J A. Lower-extremity amputation in people with diabetes. Epidemiology and prevention. Diabetes Care 1989; 12(1)24–31
   PubMed Web of Science ®Google Scholar
• Borgqvist L, Lindelöw G, Thorngren K G. Costs of hip fracture. Acta Orthop Scand 1991; 62(1)39–48
   PubMedGoogle Scholar
• Borssén B, Lithner F. Amputations in diabetics and non-diabetics in Umeå county 1971-1977. Acta Med Scand (Suppl 687) 1984; 95–100
   Google Scholar
• Boulton A J M. The diabetic foot. Med Clin North Am 1988; 72(6)1513–30
   PubMed Web of Science ®Google Scholar
• Boulton A J M, Kubrusly D B., Bowker J H., Gardia M T., Quintero L, Becker D M., Skyler J S., Sosenko J M. Impaired vibratory perception and diabetic foot ulceration. Diabet Med 1986; 3: 335–7
   PubMed Web of Science ®Google Scholar
• Boulton A J M, Connor H, Cavanagh P. The foot in diabetes, 2nd edition. Wiley, Chichester 1994
   Google Scholar
• Burgess E M., Romano R L., Zettl J H., Schrock R D. Amputations of the leg for peripheral vascular insufficiency. J Bone J Surg (Am) 1971; 53: 874–90
   PubMed Web of Science ®Google Scholar
• Callow A D., Mackey M C. Costs and benefits of prosthetic vascular surgery. Int Surg 1988; 73: 237–40
   PubMed Web of Science ®Google Scholar
• Cameron H C., Lennard-Jones J E M P, Robinson M P. Amputation in the diabetic. Outcome and survival. Lancet 1964; 2: 605–7
   PubMed Web of Science ®Google Scholar
• CDC. Diabetes surveillance, 1980-1987. US Dept. of Health and Human Services/Public Health Service, Atlanta 1990
   Google Scholar
• CDC. Lower-extremity amputation among persons with diabetes mellitus- Washington 1988. Morbidity and mortality weekly report. US Department of Health and Human Services/Public Health Service, Atlanta 1991; 40(43)737–9
   Google Scholar
• Christensen S. Lower-extremity amputations in the community of Aalborg 1961-1971. Acta Orthop Scand 1976; 47: 329–34
   PubMed Web of Science ®Google Scholar
• Cohen S. Potential barriers to diabetes care. Diabetes Care 1983; 6: 499–500
   PubMed Web of Science ®Google Scholar
• Connor H. The economic impact of diabetic foot disease. The foot in diabetes, H Connor, A J M Boulton, JD Ward. Wiley and Sons Ltd, New York 1987; 145–9
   Google Scholar
• Ctercteko G C., Dhanendran M, Hutton W C., Le Quesne L P. Vertical forces acting on the feet of diabetic patients with neuropathic ulceration. Br J Surg 1981; 68: 608–14
   PubMed Web of Science ®Google Scholar
• Davidson J K., Alogna M, Goldsmith M, Borden J. Assessment of program effectiveness at Grady Memorial Hospital-Atlanta. Educating diabetic patients, G Steiner, P A. Lawrence. Springer-Verlag, New York 1981; 329–48
   Google Scholar
• Deerochanawong C, Home P D., Alberti K G M M. A survey of lower-limb amputation in diabetic patients. Diabet Med 1992; 9: 942–6
   PubMed Web of Science ®Google Scholar
• Delbridge L, Appelberg M, Reeve T S. Factors associated with development of foot lesions in the diabetic. Surgery 1983; 93: 78–82
   PubMed Web of Science ®Google Scholar
• Delbridge L, Ctercteko G, Fowler C, Reeve T S., LeQuesne L P. The aetiology of diabetic neuropathic ulceration of the foot. Br J Surg 1985; 72: 1–6
   PubMed Web of Science ®Google Scholar
• Ebskov L B. Epidemiology of lower-limb amputations in diabetics in Denmark (1980 to 1989). Int Orthop (SICOT) 1991; 15: 285–8
   PubMed Web of Science ®Google Scholar
• Ecker M L., Jacobs B S. Lower-extremity amputation in diabetic patients. Diabetes 1970; 19: 189–95
   PubMed Web of Science ®Google Scholar
• Edmonds M E. The diabetic foot: Pathophysiology and treatment. Clin Endocrinol Metab 1986; 15: 889–916
   PubMedGoogle Scholar
• Edmonds M E., Blundell M P., Morris M E., Maelor Thomas E, Cotton L T., Watkins P J. Improved survival of the diabetic foot: the role of a specialised foot clinic. Quart J Med, New Series 1986; 60(232)763–71
   PubMedGoogle Scholar
• Eneroth M, Persson B M. Amputation for occlusive arterial disease. A prospective multicentre study of 177 amputations. International Orthopaedics 1992; 16: 383–7
   PubMed Web of Science ®Google Scholar
• Falkenberg M. Metabolic control and amputations among diabetics in primary health care- a population-based intensified programme governed by patient education. Scand J Prim Health Care 1990; 8: 25–9
   PubMedGoogle Scholar
• Finch D, MacDougal M, Tibbs D, Morris P. Amputation for vascular disease: the experience of a peripheral vascular unit. Br J Surg 1980; 67: 233–7
   PubMed Web of Science ®Google Scholar
• The high-risk foot in diabetes mellitus, Frykberg. Churchill Livingstone, New York 1991, (Ed).
   Google Scholar
• Fylling C P., Knighton D R. Amputation in the diabetic population: Incidence, causes, cost, treatment, and prevention. J Enterostom Ther 1989; 16: 247–55
   PubMedGoogle Scholar
• Gibbons G W., Marcaccio E J., Burgess A M., Pomposelli F B., Freeman D V., Campbell D R., Miller A, LoGerfo F W. Improved quality of diabetic foot care, 1984 vs 1990: reduced length of stay and costs, insufficient reimbursement. Arch Surg 1993; 128(5)576–81
   PubMedGoogle Scholar
• Goldner M G. The fate of the second leg in the diabetic amputee. Diabetes 1960; 9(2)100–3
   PubMed Web of Science ®Google Scholar
• Limb salvage and amputation for vascular disease, R M. Greenhalgh, C W. Jamieson, A N. Nicolaides. W B Saunders Company, Philadelphia 1988, (Eds)
   Google Scholar
• Gregory-Dean A. Amputations: statistics and trends. Ann Royal Coll Surg Engl 1991; 73: 137–42
   PubMed Web of Science ®Google Scholar
• Griffiths G D., Wiemen T J. Meticulous attention to foot care improves the prognosis in diabetic ulceration of the foot. Surg Gyn Obst 1992; 174(1)49–51
   PubMedGoogle Scholar
• Gupta S K., Veith F J., Ascer E, White Flores S A., Gliedman M L. Cost-factors in limb-threatening ischemia due to infrainguinal arteriosclerosis. Eur J Vase Surg 1988; 2: 151–1
   PubMedGoogle Scholar
• Hansson J. The leg amputee: a clinical follow-up study. Acta Orthop Scand (Suppl 69) 1964
   Google Scholar
• Helm P, Engel T, Holm A, Kristiansen V, Rosendahl B. Function after lower-limb amputation. Acta Orthop Scand 1986; 57: 154–7
   PubMed Web of Science ®Google Scholar
• Hierton T, James U. Lower-extremity amputation in Uppsala county 1947-1969: Incidence and prosthetic rehabilitation. Acta Orthop Scand 1973; 44: 573–82
   PubMed Web of Science ®Google Scholar
• Hoar C S., Torres J. Evaluation of below-the-knee amputation in the treatment of diabetic gangrene. N Engl J Med 1962; 266: 440–3
   PubMed Web of Science ®Google Scholar
• Holstein P. The distal blood pressure predicts healing of amputations on the feet. Acta Orthop Scand 1984; 55: 227–33
   PubMed Web of Science ®Google Scholar
• Holstein P. Skin perfusion pressure measured by radioisotope washout for predicting wound healing in lower limb amputation for arterial occlusive disease. Acta Orthop Scand (Suppl 213) 1985; 56: 1–47
   PubMedGoogle Scholar
• Jernberger A. The diabetic foot (In Swedish.). Swedish Medicine (ISSN 0284-5542). 1989; 14: 176–83
   Google Scholar
• Jönsson B. Diabetes- the cost of illness and the cost of control. An estimate for Sweden 1978. Acta Med Scand (Suppl 671) 1983; 19–27
   Google Scholar
• Kald A, Carlsson R, Nilsson E. Major amputation in a defined population: incidence, mortality and results of treatment. Br J Surg 1989; 76(3)308–10
   PubMed Web of Science ®Google Scholar
• Karanfilian R G., Lynch T G., Zirul V T., Padberg F T., Jamil Z, Hobson R W. The value of laser Doppler velocimetry and transcutaneous oxygen tension determination in predicting healing of ischemic forefoot ulcerations and amputations in diabetic and non-diabetic patients. J Vase Surg 1986; 4(5)511–6
   PubMed Web of Science ®Google Scholar
• Larsson J. Lower-extremity amputation in diabetic patients. Lund 1994, Thesis
   Google Scholar
• Larsson J, Apelqvist J, Castenfors J, Agardh C-D, Stenstrom A. Distal blood pressure as a predictor for the level of amputation in diabetic patients with foot ulcer. Foot & Ankle 1993; 14(5)247–53
   PubMedGoogle Scholar
• Larsson J, Apelqvist J, Agardh C-D, Stenstrom A. Decreasing incidence of major amputation in diabetic patients-a consequence of a multidisciplinary foot care team approach?. Diabet Med 1994a, In press
   Web of Science ®Google Scholar
• Larsson J, Apelqvist J, Agardh C-D, Stenstrom A. Local signs and symptoms in relation to final amputation level in diabetic patients. Acta Orthop Scand 1994b; 65(4)387–93
   PubMed Web of Science ®Google Scholar
• Larsson J, Apelqvist J, Agardh C-D, Stenstrom A. Clinical characteristics in relation to outcome after amputation in diabetic patients with foot ulcers. Foot & Ankle 1994c, In press
   Google Scholar
• Larsson P A., Risberg B. Amputations due to lower-limb ischemia. Acta Chir Scand 1988; 154: 267–70
   PubMedGoogle Scholar
• Lawee D, Csima A. Diabetes-related lower extremity amputations in Ontario: 1987–88 experience. Revue Canadienne de Sant6 Publique 1992; 83(4)298–302
   PubMed Web of Science ®Google Scholar
• Lee C S., Sariego J, Matsumoto T. Changing patterns in the predisposition for amputation of the lower extremities. Am Surg 1992; 58: 474–7
   PubMed Web of Science ®Google Scholar
• Leese B. The costs of diabetes and its complications. Soc Sci Med 1992; 35(19)1303–10
   PubMedGoogle Scholar
• Leslie P J., Patrick A W., Hepburn D A., Scougal I J., Frier B M. Hospital in-patient statistics underestimate the morbidity associated with diabetes mellitus. Diabet Med 1992; 9: 379–85
   PubMed Web of Science ®Google Scholar
• The diabetic foot., 5th edition, M E. Levin, L W. O'Neal, J H. Bowker. Mosby Year Book, St Louis 1993, (Eds)
   Google Scholar
• Liedberg E, Persson B M. Increased incidence of lower-limb amputation for arterial occlusive disease. Acta Orthop Scand 1983; 54: 230–34
   PubMed Web of Science ®Google Scholar
• Lindahl F, Bolund S. Lower-extremity amputations (In Danish). Journal of the Danish Medical Association 1969; 131: 365–8
   Google Scholar
• Lindegard P, Jonsson B, Lithner F. Amputations in diabetic patients in Gotland and Umea counties 1971-1980. Acta Med Scand (Suppl 687) 1984; 89–93
   Google Scholar
• Lithner F. Cutaneous erythema, with or without necrosis, localized to the legs and feet- a lesion in elderly diabetics. Acta Med Scand 1974; 196: 333–42
   PubMedGoogle Scholar
• Lithner F, Bakker K. Epidemiology and economic impact of the diabetic foot- a major health care problem. The diabetic foot, A C. Nieuwenhuijsen Kruseman. Excerpta Medica, Amsterdam 1991; 9–17, ).ISBN 90 219 9939 0.;
   Google Scholar
• Lithner F, Tornblom N. Gangrene localized to the feet in diabetic patients. Acta Med Scand 1984; 215: 75–9
   PubMedGoogle Scholar
• LoGerfo F W., Gibbons G W., Pomposelli F B., Jr, Campbell D R., Miller A, Freeman D V., Quist D C. Trends in the care of the diabetic foot. Expanded role of arterial reconstruction. Arch Surg 1992; 127(5)617–20
   Google Scholar
• de Luccia N, de Souza Pinto M A., Guedes J P B, Albers M T V. Rehabilitation after amputation for vascular disease: a follow-up study. Prosthet Orthot Int 1992; 16: 124–8
   PubMed Web of Science ®Google Scholar
• Lääperi T, Pohjalainen T, Alaranta H, Karkkainen M. Lower-limb amputations. Ann Chir Gyn 1993; 82: 183–7
   PubMedGoogle Scholar
• Mackey W C., McCullough J L., Conlon T P., Shepard A D., Deterling R A., Collow A D., O'Donnell T F. The cost of surgery for limb-threatening ischaemia. Surgery 1986; 99: 26–35
   PubMedGoogle Scholar
• Malone J M., Snyder M, Anderson G, Bernard V M., Holo-way G A., Bunt T J. Prevention of amputation by diabetic education. Am J Surg 1989; 159: 520–4
   Google Scholar
• Miller A D., Van Buskirk A, Nerhoek-Oftedal W, Miller E R., Trenton M A. Diabetes-related lower-extremity amputations in New Jersey, 1979 to 1981. J Med Soc NJ 1985; 82: 723–6
   PubMedGoogle Scholar
• Molinatti G M., Porta M. Diabetes mellitus in Europe. A problem in all ages in all countries. A model for prevention and self-care. Giornale Italiano di Diabetologica (Suppl 10) 1990; 1–140, (Eds).;
   Google Scholar
• Mooney V, Wagner W, Waddell J, Ackerson T. The below-the-knee amputation for vascular disease. J Bone J Surg (Am) 1976; 58: 365–8
   PubMed Web of Science ®Google Scholar
• Moss S E., Klein R, Klein B E K. The prevalence and incidence of lower-extremity amputation in a diabetic population. Arch Intern Med 1992; 152: 610–6
   PubMed Web of Science ®Google Scholar
• Most R, Sinnock P. The epidemiology of lower-extremity amputations in diabetic individuals. Diabetes Care 1983; 6: 87–91
   PubMed Web of Science ®Google Scholar
• Nelson R G., Gohdes D M., Everhart J E., Hartner J A., Zwe-meer F L., Pettitt D J., Knowler W C. Lower-extremity amputations in NIDDM. 12-yr follow-up study in Pima Indians. Diabetes Care 1988; 11(1)8–16
   PubMed Web of Science ®Google Scholar
• Palumbo P J., Melton L J. Peripheral vascular disease and diabetes. In: Diabetes in America: Diabetes data compiled 1984. NIH publication no. 85-1468., U S Govt Printing Office, Washington DC 1985; 1–21
   Google Scholar
• Pecoraro R E., Reiber G E., Burgess E M. Pathways to diabetic limb amputation. Basis for prevention. Diabetes Care 1990; 13(5)513–21
   PubMed Web of Science ®Google Scholar
• Pedersen A E., Bornefelt Olsen B, Krasnik M, Ebskov L B., Leicht B P., Sager P, Helgestrand U, Holstein P. Halving the number of leg amputations: The influence of infra-popliteal bypass. Eur J Vase Surg 1994; 8: 26–30
   PubMedGoogle Scholar
• Persson B, Sundén G. Below knee-amputation for gangrene in the elderly. (In Swedish). Nord Med 1971; 86: 1045–9
   PubMedGoogle Scholar
• Persson B M., Liedberg E, Eneroth M. Break of trend for lower-extremity amputation in diabetic patients. (In Swedish). The Journal of the Swedish Medical Association 1989; 86: 2523–4
   Google Scholar
• Persson U. The economics of diabetes—a review. IHE Working Paper, Lund 1989; 3
   Google Scholar
• Pohjalainen T, Alaranta H. Lower-limb amputations in southern Finland 1984-1985. Prosthet Orthot Int 1988; 12: 9–18
   PubMed Web of Science ®Google Scholar
• Raviola C A., Nichter L S., Baker J D. Cost of treating advanced leg ischemia. Bypass graft vs primary amputation. Arch Surg 1988; 123(4)495–6
   Google Scholar
• Reiber G E., Pecoraro R E., Koepsell T D. Risk factors for amputation in patients with diabetes mellitus. A case-control study. Ann Int Med 1992; 117(2)97–105
   PubMed Web of Science ®Google Scholar
• Renström P. The below-knee amputee. Goteborg 1981, Thesis. ISBN 91-7222-367-7
   Google Scholar
• Rith-Najarian S J., Stolusky T, Gohdes D M. Identifying diabetic patients at high risk for lower-extremity amputation in a primary health care setting. Diabetes Care 1992; 15(10)1385–9
   Web of Science ®Google Scholar
• Runyan J W. The Memphis Chronic Disease Program. JAMA 1975; 231: 264–7
   PubMed Web of Science ®Google Scholar
• Sage R A. Diabetic ulcers. The diabetic foot. Clinics in podiatric medicine and surgery, L B. Harkless, K J. Dennis. W B Saunders Company, Philadelphia 1987; 4: 383–93, In: (Eds).;(2)
   Google Scholar
• SBU. The Swedish Council on Technology Assessment in Health Care. Vascular surgery for arteriosclerotic disease of the lower extremities. Swedish. (Statens beredning för utvärdering av medicinsk metodik. Kärlkirurgi vid åderförkalkning i benen). 1990, In ISBN 91-87890-05-4. Stockholm
   Google Scholar
• Second European Consensus Document on chronic critical leg ischemia. Circulation (Suppl IV) 1991; 84(4)1–26
   PubMedGoogle Scholar
• Siitonen O I., Niskanen L K., Laakso M. Lower-extremity amputations in diabetic and nondiabetic patients. A population-based study in eastern Finland. Diabetes Care 1993; 16(1)16–20
   PubMed Web of Science ®Google Scholar
• Silbert S. Amputation of the lower extremity in diabetes mellitus. Diabetes 1952; 1(4)297–9
   PubMed Web of Science ®Google Scholar
• Sims D S., Cavanagh P R., Ulbrecht J S. Risk factors in the diabetic foot. Recognition and management. Phys Ther 1988; 68(12)1887–1901
   PubMed Web of Science ®Google Scholar
• Stebbings W S L, Wood R F. Amputations in diabetics. Ann Royal Coll Surg Engl 1991; 73: 170–5
   PubMedGoogle Scholar
• Stewart C P U, Jain A S., Ogston S A. Lower-limb amputee survival. Prosthet Orthot Int 1992; 16: 11–8
   PubMed Web of Science ®Google Scholar
• Tan M H., Gwee H M., Yeo P P., Bose K. Diabetic amputees in Singapore. Tohoku J Exp Med 1983; 141: 575–82
   PubMedGoogle Scholar
• The National Swedish Board of Health and Welfare. Swedish. (Diabetesvård i Norrbotten och Västerbotten- Struktur och kvalitet. Aktiv uppfoljning. Projektrapport, Socialstyrelsen). 1992a, Project report on diabetes care in Norrbotten and Västerbotten. In Stockholm
   Google Scholar
• The National Swedish Board of Health and Welfare. Swedish. (Diabetesvard i Orebro och Vastmanland-Struktur och kvalitet. Aktiv uppfoljning. Projektrapport, Socialstyrelsen). Stockholm 1992b, Project report on diabetes care in Orebro and Vastmanland. In.
   Google Scholar
• The National Swedish Board of Health and Welfare. Project report on diabetes-related lower extremity amputation with a survey of amputations in the counties of Kopparberg and Värmland. Swedish. (Amputations-frekvens vid diabetes. Amputation på nedre extremiteten vid diabetes med en kartläggning av amputationer i Kopparbergs och Värmlands Iän. Aktiv Uppföljning. Projektrapport, Socialstyrelsen. Artikelnr 1993-13-12). Stockholm 1993, In.
   Google Scholar
• Thomas J H., Steers J L., Keushkerim S M., Pierce G E., Iliopodus A S., Hemreck A S. A comparison of diabetics and nondiabetics with threatened limb loss. Am Surg 1988; 156: 481–3
   Google Scholar
• Tunis S R., Bass E B., Steinberg E P. The use of angioplasty, bypass surgery, and amputation in the management of peripheral vascular disease. N Engl J Med 1991; 325(8)556–62
   PubMed Web of Science ®Google Scholar
• Valway S E., Linkins R W., Gohdes D M. Epidemiology of lower-extremity amputations in the Indian Health Service, 1982-1987. Diabetes Care (Suppl 1) 1993; 16: 349–52
   PubMed Web of Science ®Google Scholar
• Warren R, Kihn R. A survey of lower-extremity amputations for ischemia. Surgery 1968; 63(1)107–20
   Web of Science ®Google Scholar
• Waugh N R. Amputation in diabetic patients: a review of rates, relative risks and resource use. Community Medicine 1988; 10: 279–88
   PubMedGoogle Scholar
• Weaver P, Marshall S. A functional and social review of lower-limb amputees. Br J Surg 1973; 60: 732–7
   PubMed Web of Science ®Google Scholar