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 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.

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

Outcomes of Artificial Lower-Limb Fitting in Scotland

Physiotherapy ◽  
1990 ◽  
Vol 76 (1) ◽  
pp. 53
Author(s):  
P Buttenshaw
Keyword(s):  
Lower Limb ◽  
Fitting In

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

2021 ◽  
Author(s):  
Raka A. Nugraha ◽  
Hary S. Muliawan ◽  
Nyityasmono T. Nugroho ◽  
Muhammad Ikhsan ◽  
Suko Adiarto
Keyword(s):  
Critical Illness ◽  
Venous Thrombosis ◽  
Lower Limb ◽  
The Other ◽  
Ambulatory Setting ◽  
Current Evidence ◽  
Global Burden ◽  
Significant Morbidity ◽  
Ambulatory Patients ◽  
Clinical Consequences

AbstractSince its first discovery in late 2019, coronavirus disease 2019 (COVID-19) has been a global burden associated with significant morbidity and mortality. COVID-19 has been correlated with the development of hypercoagulable state that predisposes the patients to a higher risk of thromboembolism. Current evidence suggests higher incidence of thrombosis, particularly venous thrombosis, among hospitalized COVID-19 patients, mostly with critical illness. On the other hand, there is currently no data regarding the incidence of vivid thrombosis in ambulatory patients with mild COVID-19 and the incidence of concomitant arterial and venous thrombosis in COVID-19 is extremely rare. Herein, we describe catastrophic outcomes of concomitant lower limb arterial and venous thrombosis in a patient with mild COVID-19. This report highlights the occurrence of concomitant arterial and venous thrombosis in ambulatory setting and that this phenomenon resulted in catastrophic clinical consequences.

scholarly journals A qualitative study of the challenges of providing pre-prosthetic rehabilitation in rural South Africa

2017 ◽  
Vol 42 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Liezel Ennion ◽  
Anton Johannesson
Keyword(s):  
South Africa ◽  
Lower Limb ◽  
Rural Setting ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Rural South ◽  
Physical Strength ◽  
District Hospitals ◽  
Fitting In ◽  
Rural South Africa

Background: There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. Objective: To explore therapists’ experiences with providing pre-prosthetic rehabilitation in a rural setting. Study design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. Results: The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists’ ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Conclusion: Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.

scholarly journals Análisis biomecánico del pie protésico Bioc-dm2

2019 ◽  
Vol 15 (1) ◽  
pp. 80-86
Author(s):  
Jhon Hernandez Martin ◽  
Oscar Heli Bejarano ◽  
Edwin Yamith Martínez ◽  
Luis A. Parra Piñeros ◽  
Jairo Alberto Romero ◽  
...  
Keyword(s):  
Lower Limb ◽  
Quality Standards ◽  
The Other ◽  
Emotional Impact ◽  
Human Wellbeing ◽  
Prosthetic Component ◽  
Analysis Design ◽  
Design And Manufacture ◽  
Fundamental Pattern ◽  
Proper Response

Walking is one of the aspects directly compromising human wellbeing, as it has a physical and emotional impact in daily life.For this study, we delve into the challenge of improving some walking conditions in a patient suffering lower limb loss, specifically at transtibialor transfemoral levels. Given that our purpose was the analysis, design and manufacture of a lower-limb prosthetic component, which fills the needsfor functionality, it became necessary to build a foot with all the quality standards associated to each and all movements required to form thecomplex fundamental pattern of walking. Besides, this foot should also easily endure weight, daily use and physical characteristics of the patientobject of this study. When performing physical validation and during human walk, a proper response is observed in terms of mechanics, materialsand dynamics of the component, thus making evident proper construction and assembly. On the other hand, it is feasible that design and verificationof the component provided a competitive element, as compared to existing elements currently in the market. The previous situation generated theneed for verification from the National Institute for Medications and Food (INVIMA), as well as the revision of the use replying device, forcomponent verification, in accordance with ISO 10328.

scholarly journals Defining patho-anatomy of the knee in congenital longitudinal lower limb deficiencies

2016 ◽  
Vol 2 (1) ◽  
pp. 48 ◽  
Author(s):  
CarolineM Blakey ◽  
KiranA.N. Saldanha ◽  
Penny Broadley ◽  
JamesA Fernandes
Keyword(s):  
Lower Limb ◽  
Limb Deficiencies

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 Temporary prosthetic fitting for below-knee amputation

1989 ◽  
Vol 13 (2) ◽  
pp. 86-89 ◽  
Author(s):  
H. Ozyalcin ◽  
E. Sesli
Keyword(s):  
Developing Countries ◽  
Small Volume ◽  
High Pressures ◽  
Knee Prosthesis ◽  
High Price ◽  
Volume Changes ◽  
Dressing Method ◽  
Knee Amputation ◽  
Long Period ◽  
Prosthetic Fitting

The problems encountered in fitting and using the permanent below-knee prosthesis in developing countries are the high price of the prosthesis, inadequate fitting and lack of proper rehabilitation. In Turkey, the preferred treatment of the stump post-operatively is by the soft dressing method with bandaging for maturation and shrinkage. Generally, the application of the permanent prosthesis is in the sixth month post-operatively. Since in patellar-tendon-bearing (PTB) sockets, stumps have to withstand high pressures in limited areas, the PTB socket can only tolerate small volume changes in the stump. For this reason bandaging over a long period may be insufficient for adequate stump shrinkage and amputees will need another below-knee prosthesis, which most of them cannot afford after only a few weeks use. In the authors' clinic, 19 amputees were fitted with simple, effective and inexpensive temporary prostheses following either conventional immediate post-operative dressing or the soft dressing method. The temporary prosthesis is worn for two months. It produces fast stump shrinkage, helps maturation and permits ambulatory discharge even in bilateral amputees. For economical reasons, only eight of nineteen patients were fitted with permanent prostheses, all wearing them successfully without the necessity of further rehabilitation.

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