Patients with vascular and metabolic transfemoral amputations experience substantial functional limitations and high rates of prosthetic abandonment. Although multidisciplinary inpatient rehabilitation programs have been associated with improved outcomes, evidence regarding their effectiveness in low- and middle-income countries remains limited.
This study aims to evaluate the effectiveness of an inpatient rehabilitation and prosthetic training model implemented at the National Institute of Rehabilitation "Luis Guillermo Ibarra Ibarra" (INRLGII), Mexico. An ambispective cohort design will be used, including a retrospective review of patients treated between 2013 and 2025 and a prospective cohort enrolled between 2026 and 2029.
The primary objective is to determine the proportion of patients who achieve functional prosthesis use after hospital discharge. Secondary objectives include identifying clinical, metabolic, functional, and psychosocial factors associated with successful prosthetic use, adherence, and abandonment.
Unilateral transfemoral amputation secondary to vascular disease or diabetes-related complications.
Participation in the INRLGII inpatient prosthetic rehabilitation program.
Availability of complete clinical records or willingness to participate in follow-up assessments .
Signed informed consent.
Current prosthesis user before admission to the INRLGII rehabilitation program.
Bilateral major lower-limb amputation.
Inability to complete follow-up assessments.
Incomplete or inconsistent clinical information.
Adult patients (≥18 years) with unilateral transfemoral amputation secondary to vascular disease or diabetes-related complications who are treated through the inpatient prosthetic rehabilitation program at the National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra (INRLGII), Mexico.
Cohort
Prospective
Not listed
Functional Prosthesis Use at 6 Months
Functional prosthesis use defined as prosthesis use ≥8 hours per day and a Houghton Scale score ≥9.
Houghton Scale Score
Functional mobility and prosthetic use assessed using the Houghton Scale (0-12 points).
Daily Prosthesis Use
Average number of hours per day the prosthesis is used.
Factors Associated With Functional Prosthesis Use
Association between functional use and demographic, clinical, metabolic, and psychosocial variables.
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