Prosthetic Fitting in Lower Limb Amputees

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.

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

Prosthetics and Orthotics International ◽

10.3109/03093648609164515 ◽

1986 ◽

Vol 10 (3) ◽

pp. 125-128 ◽

Cited By ~ 2

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.

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The Strongest Predictors of Length of Stay and Successful Prosthetic Fitting for Lower Limb Amputees

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2019.08.409 ◽

2019 ◽

Vol 100 (10) ◽

pp. e134-e135

Author(s):

Michael Chislett ◽

Michelle Ploughman ◽

Jason McCarthy

Keyword(s):

Length Of Stay ◽

Lower Limb ◽

Prosthetic Fitting ◽

Lower Limb Amputees

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Lower limb amputees in Southern Finland

Prosthetics and Orthotics International ◽

10.3109/03093649509167998 ◽

1995 ◽

Vol 19 (3) ◽

pp. 155-158 ◽

Cited By ~ 10

Author(s):

H. Alaranta ◽

R. Alaranta ◽

T. Pohjolainen ◽

M. Kärkkälnen

Keyword(s):

Age Structure ◽

Lower Limb ◽

Epidemiological Data ◽

Similar Data ◽

Prosthetic Fitting ◽

Epidemiological Trends ◽

Lower Limb Amputees

The purpose of this study was to look at the current epidemiological trends of lower limb amputees in 1992 in the area of Southern Finland with 1.2 million inhabitants. Similar data was collected earlier in 1984–85 and 1989. The amputation incidence was found to be 27.4 per 100,000 inhabitants. The trans-tibial/trans-femoral ratio was 0.78. The percentage of prosthetic fitting among patients undergoing unilateral trans-tibial amputation was 68% and the corresponding figure among the trans-femoral patients was 35%. The epidemiological data showed an improvement on that found 8 years earlier although the overall age structure is shifting upwards.

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Outcomes of Artificial Lower-Limb Fitting in Scotland

Physiotherapy ◽

10.1016/s0031-9406(10)62481-9 ◽

1990 ◽

Vol 76 (1) ◽

pp. 53

Author(s):

P Buttenshaw

Keyword(s):

Lower Limb ◽

Fitting In

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Adaptive Foot in Lower-Limb Prostheses

Journal of Robotics ◽

10.1155/2017/9618375 ◽

2017 ◽

Vol 2017 ◽

pp. 1-15 ◽

Cited By ~ 2

Author(s):

Thilina H. Weerakkody ◽

Thilina Dulantha Lalitharatne ◽

R. A. R. C. Gopura

Keyword(s):

Lower Limb ◽

Uneven Surface ◽

Design Concepts ◽

Human Foot ◽

Future Developments ◽

Adaptive Capabilities ◽

Adaptive Nature ◽

Lower Limb Amputees ◽

Artificial Prosthesis ◽

Lower Limb Prostheses

The human foot consists of complex sets of joints. The adaptive nature of the human foot enables it to be stable on any uneven surface. It is important to have such adaptive capabilities in the artificial prosthesis to achieve most of the essential movements for lower-limb amputees. However, many existing lower-limb prostheses lack the adaptive nature. This paper reviews lower-limb adaptive foot prostheses. In order to understand the design concepts of adaptive foot prostheses, the biomechanics of human foot have been explained. Additionally, the requirements and design challenges are investigated and presented. In this review, adaptive foot prostheses are classified according to actuation method. Furthermore, merits and demerits of present-day adaptive foot prostheses are presented based on the hardware construction. The hardware configurations of recent adaptive foot prostheses are analyzed and compared. At the end, potential future developments are highlighted.

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