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Following amputation, the amputee’s rehabilitation should begin as soon as possible so as to maximize the potential
for success. A general goal for this postoperative period is to help the patient regain his/her preoperative level of
function. For some patients, this may mean a return to athletic activities such as running, hiking, skiing. The goal
for others may be simply household ambulation or transfers. In any case, residuum protection is a significant
objective. In all cases, however the clinic team should work with the patient to establish a rehabilitation program as
soon as possible in order to help the patient reach his or her goals.
The nature of this rehabilitation program will by necessity vary from patient to patient due to individual needs and
goals. Methods, timing, and components utilized by the clinic team will also be influenced by regional differences
and team preferences, but what is essential is that the plan is comprehensive, and that it is designed to meet the
physical and psychological needs of the patient.
Goals of post surgical management
The postoperative program can be divided into two phases: the early phase, which covers the first few days after
surgery and the preparatory phase, which encompasses the time until the patient is fit with a definitive prosthesis (if
that is the goal).
General goals for the early postoperative phase are:
- Control of postoperative edema (and related phantom pain)
- Residuum protection
- Reduction of pain
- Wound healing
- Prevention of contractures and other complications
- Adjustment to the loss of a limb
These same goals will continue during the preparatory phase, but additional ones will be added to the program
including the following, more long-term goals:
- Preparation of the residual limb for weight-bearing in a prosthesis
- A comprehensive strengthening program
- Gait-training if appropriate
- Gradual progression to the patient’s highest degree of independence
These goals are dependent upon cooperation between the members of the clinic team including, but not limited to
the attending physician, prosthetist, physical and occupational therapist, psychology, and nursing. The
multidisciplinary approach offers the best means of helping patients reach their maximum potential.
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