Incidence and Related Factors of Joint Contracture in Amputated Side of Amputee at Maharaj Nakhon Si Thammarat Hospital


  • Naphatsaphon Chumwong Maharaj Nakhon Si Thammarat Hospital


lower extremity amputee, joint contracture, incidence


          Background: Amputation surgery is a common therapeutic procedure in clinical practice. This procedure effects permanently on patient’s quality of life. Leg prosthesis usage can improve the patient’s quality of life in ambulation ability. The joint contracture in amputated side is one of important negative factors for prosthesis usage. However, it is preventable.

          Objectives: To evaluate the incidence and related factors of joint contracture in the amputated side of lower extremity amputee, Maharaj Nakhon Si Thammarat Hospital.

          Method: Retrospective descriptive study research was designed and collected the data of amputees from out-patient rehabilitation medical records.

          Results: This study included 153 patients. The patient's average age was 53.86 +15.63 years. The majority of the 113 (73.9 percent) were men. The 150 (98%) were all unilateral leg amputations. Amputations below the knee accounted for 88.5 percent of all amputations. Amputation due to trauma accounts for 53.6 percent of cases, and infection-related amputations account for 26.8 percent. Diabetes mellitus was found to be the underlying disease in 28.8 percent of cases. The incidence of joint contracture in amputated side is 8.5%. The diabetes mellitus was significantly associated with joint contracture in amputated side of lower extremity amputee. (p=0.043)

          Conclusion: Diabetes mellitus was discovered to be a risk factor for joint contracture in amputees with amputated lower extremity sides. Health care workers should pay special attention and provide preventable strategies to reduce the incidence of joint contracture while also improving quality of life.


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How to Cite

Chumwong, N. (2021). Incidence and Related Factors of Joint Contracture in Amputated Side of Amputee at Maharaj Nakhon Si Thammarat Hospital. Region 11 Medical Journal, 35(2). Retrieved from



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