Factors Associated with Use and Nonuse of an AK Prosthesis in a Rural, Southern, Geriatric Population

  • Jeanette M. Dolezal
  • Sanford H. Vernick
  • Nusrat Khan
  • David Lutz
  • Carl Tyndall


The purpose of this study was to determine factors associated with nonuse of an AK prosthesis in a rural, Southern, geriatric population. We conducted a telephone survey of AK amputees fitted with a prosthesis in Eastern North Carolina. There was an association between nonuse of the prosthesis and the following factors: African-American race; low education; no gainful employment; copresence of diabetes mellitus and peripheral vascular disease; use of walker, but not cane; and phantom pain of short duration. Recommendations for prosthesis providers include: (a) good management of comorbidities, (b) counseling that prosthetic use minimizes phantom pain, (c) optimization of balance and coordination, and (d) consideration of alternative nonprosthetic options for ambulation.

AK prosthesis geriatrics rural medicine 


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Copyright information

© Plenum Publishing Corporation 1998

Authors and Affiliations

  • Jeanette M. Dolezal
    • 1
  • Sanford H. Vernick
    • 2
  • Nusrat Khan
    • 3
  • David Lutz
    • 3
  • Carl Tyndall
    • 4
  1. 1.Department of Surgery, School of MedicineEast Carolina UniversityGreenville
  2. 2.Department of Physical Medicine and Rehabilitation, School of MedicineEast Carolina UniversityGreenville
  3. 3.University Health Systems of Eastern CarolinaGreenville
  4. 4.Carolina Ortho ProstheticsGreenville

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