Cost of prostheses in patients with unilateral transtibial amputation for vascular disease. A population-based follow-up during 8 years of 112 patients

Acta Orthop Scand. 1998 Dec;69(6):603-7. doi: 10.3109/17453679808999264.

Abstract

We analyzed the cost of prostheses for patients amputated because of vascular disease. During 1 year, 112 patients were treated with a primary unilateral transtibial amputation in Malmöhus county, Sweden, which has 527,000 inhabitants. During the first 6 months after the amputation, 50% (56/112) of the patients had received a prosthesis. At 6 months, 49 patients (7 had died) were examined, 18 had poor and 31 had good prosthetic function. Within 1 year, 71 (63%) patients had been fitted with a prosthesis. During 8 years after the amputation, they received altogether 137 prostheses and 54 exchange sockets; 59% of the prostheses and 26% of the sockets were delivered during the first year. Each patient received a median of 1 prosthesis and 1 extra socket. During the 8-year period, the total cost of prostheses, sockets and maintenance for the 71 patients was USD 228,746, representing a median cost of USD 1,582 per patient. The total cost of maintenance of the prostheses during the same period was USD 37,959, representing 20% of the total cost of all the prostheses and sockets. There was no statistically significant difference in the costs between patients with good or poor function.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amputation / economics*
  • Arterial Occlusive Diseases / economics
  • Arterial Occlusive Diseases / mortality
  • Arterial Occlusive Diseases / surgery*
  • Artificial Limbs / economics*
  • Costs and Cost Analysis
  • Female
  • Humans
  • Ischemia / economics
  • Ischemia / mortality
  • Ischemia / surgery*
  • Leg / blood supply*
  • Male
  • Middle Aged
  • Postoperative Complications / economics
  • Postoperative Complications / mortality
  • Prosthesis Failure / economics
  • Survival Rate
  • Sweden
  • Tibia / surgery
  • Treatment Outcome