Prosthetic fitting in a double-digit amputation with concomitant postoperative shortening and contracture of the adjacent digits

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michael EL Leow ◽  
Ambrose YK Lim ◽  
Ellen Y Lee ◽  
Alphonsus KS Chong
Keyword(s):  
Prosthetic Fitting ◽  
Fitting In ◽  
Double Digit

scholarly journals Functional and Psychosocial Outcomes of Hand Transplantation Compared with Prosthetic Fitting in Below-Elbow Amputees: A Multicenter Cohort Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (9) ◽  
pp. e0162507 ◽  
Author(s):  
Stefan Salminger ◽  
Agnes Sturma ◽  
Aidan D. Roche ◽  
Laura A. Hruby ◽  
Tatjana Paternostro-Sluga ◽  
...  
Keyword(s):  
Cohort Study ◽  
Psychosocial Outcomes ◽  
Hand Transplantation ◽  
Multicenter Cohort Study ◽  
Multicenter Cohort ◽  
Prosthetic Fitting ◽  
Fitting In

scholarly journals The value of stump split skin grafting following amputation for trauma in adult upper and lower limb amputees

1987 ◽  
Vol 11 (2) ◽  
pp. 71-74 ◽  
Author(s):  
M. R. Wood ◽  
G. A. Hunter ◽  
S. G. Millstein
Keyword(s):  
Revision Surgery ◽  
Lower Limb ◽  
Skin Grafting ◽  
Limb Amputation ◽  
Skin Grafts ◽  
Early Management ◽  
Split Skin Grafting ◽  
Prosthetic Fitting ◽  
Fitting In ◽  
Split Skin

One hundred and twenty adult patients were reviewed in whom split skin grafts were applied to the stump following traumatic amputation of the upper limb (44 amputees) or lower limb (76 amputees). The average follow-up period was seven and a half years after initial amputation. There was delay in prosthetic fitting in all patients. Approximately one third of patients complained of occasional minor ulceration, controlled by removing the prosthesis for a few days or modification of the prosthesis. Further revision surgery, including excision of the grafted skin often combined with proximal bone resection, but not removal of the proximal joint, was necessary in 29% of below-elbow amputees and approximately 50% of below and above-knee amputees. At the above-elbow level, use of skin grafts allowed prosthetic fitting because of preservation of sufficient length of the stump. Despite the fact that revision surgery may often be necessary, split skin grafting has a definite place in the early management of the stump following traumatic limb amputation in the adult. Preservation of stump length with the knee or elbow joint allows easier rehabilitation and lower energy expenditure when using the prosthesis. Partial foot amputation, when combined with skin grafting usually requires subsequent revision to a more proximal level to obtain a satisfactory result.

Major replantation versus revision amputation and prosthetic fitting in the upper extremity: A late functional outcomes study

1998 ◽  
Vol 23 (5) ◽  
pp. 783-791 ◽  
Author(s):  
Brent Graham ◽  
Paula Adkins ◽  
Tsu-Min Tsai ◽  
John Firrell ◽  
Warren C. Breidenvach
Keyword(s):  
Upper Extremity ◽  
Functional Outcomes ◽  
Prosthetic Fitting ◽  
Outcomes Study ◽  
Fitting In

scholarly journals Below-knee amputation in patients with yascular disease and prosthetic fitting problems

1986 ◽  
Vol 10 (3) ◽  
pp. 125-128 ◽  
Author(s):  
D. Yaramenko ◽  
R. V. Andruhova
Keyword(s):  
Lower Limb ◽  
Collateral Circulation ◽  
The Other ◽  
Posterior Flap ◽  
Productive Work ◽  
Knee Amputation ◽  
Prosthetic Fitting ◽  
Cutaneous Flap ◽  
Fitting In ◽  
Limb Deficiencies

A study was made of 544 cases with lower limb deficiencies caused by obliterative diseases; 262 cases were below-knee amputees. Of these, 106 (40%) were amputees transferred from other clinics for prosthetic fitting; in 156 cases (60%) the amputations were performed in the Institute. Amputations were carried out using one of two techniques according to the state of arterial and collateral circulation. The posterior flap below-knee amputation (Burgess, 1969) was employed in 94 cases, the other 62 amputations were carried out using a modification of that technique which was characterized by the formation of a musculo-fascia-cutaneous flap. The stump wound healed by first intention in 127 patients (81.4%), by second intention in 18 (11.5%) and in 11 cases (7.1%) the wounds failed to heal. Successful prosthetic fitting and walking training was achieved in 91.3% of amputees and 67.2% were returned to productive work.

scholarly journals A clinical evaluation of stumps in lower limb amputees

1991 ◽  
Vol 15 (3) ◽  
pp. 178-184 ◽  
Author(s):  
T. Pohjolainen
Keyword(s):  
Standard Form ◽  
Personal Contact ◽  
Phantom Pain ◽  
Trauma Patients ◽  
Contralateral Limb ◽  
Amputation Stumps ◽  
Prosthetic Fitting ◽  
One Year ◽  
Fitting In

A study was carried out on 93 consecutive unilateral below-knee (BK) and 62 above-knee (AK) amputees. The dimensions of the amputation stumps were measured and the general condition and contralateral limb assessed at the time of prosthetic fitting. After one postoperative year, follow-up information for 124 (89%) of the surviving patients was obtained by personal contact. The observations were based on the standard formula for stump classification constructed by the International Society for Prosthetics and Orthotics. The 93 BK stumps had a mean length of 16.0 cm and the 62 AK stumps a mean length of 28.0 cm. The scar on the stump was adherent in 13% of BK and 2% of AK stumps. The scar was deeply wrinkled in 7% of BK stumps and 10% of AK stumps. The scar on the stump was most frequently adherent or deeply wrinkled in trauma patients (33%). The skin was undamaged in 93% of all the patients at the first visit and in 94% at the time of follow-up. The mobility of the stump in the proximal joint was limited at the time of prosthetic fitting in 15% of cases. Phantom pain was reported by 59% and stump pain by 5% of patients at this time. Although the phantom pain was mild in most cases, it was usually still present after one year, and 53% of the surviving patients suffered from phantom pain. At the first visit, 20% of patients had problems in their contralateral leg. During the first postoperative year, 6 contralateral BK amputations were performed in the BK group and one contralateral AK amputation in the AK group. Thus, along with examination of the stump, attention must be paid to the contralateral limb with a view to preserving it. The study supports the usefulness of the standard form and classification of amputation stumps.

Prosthetic Fitting in Lower Limb Amputees

1983 ◽  
Vol 54 (1) ◽  
pp. 101-103 ◽  
Author(s):  
J. Steen Jensen ◽  
T. Mandrup-Poulsen ◽  
M. Krasnik
Keyword(s):  
Lower Limb ◽  
Prosthetic Fitting ◽  
Fitting In ◽  
Lower Limb Amputees
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