Effect of Postoperative Ambulation on the Quality of Life in a Transtibial Amputee

Background: Quality of life of a transtibial (TT) amputee is not only determined by his functional rehabilitation but also social, economical and psychological rehabilitation. A number of studies have analyzed the influence of lower limb amputation on these factors. This study analyses the effect of functional recovery on other parameters of quality of life in a TT amputee. Material and method : The present study followed 160 patients of TT amputation. Their postoperative ambulatory status was calculated using Pinzur's ambulatory level. Their quality of life was determined on the basis of answers to five point questionnaire. These parameters were correlated to assess the influence of functional recovery on quality of life. Results: All the amputees with Pinzur's 0-1 level of ambulation suffered loss of income consequent to loss of job. All of them felt increased level of depression and anxiety after amputation. 50% of them felt socially neglected. Comparatively much less percentage of amputees with 5-6 level of ambulation suffered economic, social and psychological crisis. Conclusions: Postoperative ambulation level directly affects the quality of life of a TT amputee.