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The Journal of Bone and Joint Surgery, Vol 58, Issue 1 42-46, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
Energy cost of walking of amputees: the influence of level of amputation
RL Waters, J Perry, D Antonelli and H Hislop
A comparison of selected gait parameters and the energy cost of prosthetic
walking was made in seventy patients with unilateral traumatic and vascular
amputations. Amputations above the knee, below the knee, and at the Syme's
level were compared in both groups of amputees, and a control group of
forty normal subjects also studied. In both groups of amputees performance
was significantly better the lower the level of the amputation. When
preservation of function is the chief concern, amputation should be
performed at the lowest possible level.
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