[Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?]

4区医学 Q2 Medicine Unfallchirurg Pub Date : 2022-04-01 Epub Date: 2022-02-25 DOI:10.1007/s00113-022-01148-1

Katherina Richter, Katharina Krause, Robert Rotter, Dagmar-C Fischer, Horst-H Aschoff, Thomas Mittlmeier

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Abstract

Background: After transfemoral amputation a prosthesis is required to restore autonomous standing and bipedal locomotion. Attachment of the prosthesis can be achieved either classically via socket suspension with a shaft in the stump or directly via implantation of an intramedullary transcutaneous femoral prosthesis (osseointegrated prosthesis).

Aim: A fully instrumented gait analysis should enable objectification of the anticipated advantages of the EEP with respect to the gait pattern and individual mobility.

Material and methods: In two patients with a unilateral transfemoral amputation a comprehensive gait analysis was carried out prior to and 6 months (patient 1) or 11 and 20 months (patient 2) after switching from a socket prosthesis to an EEP. This was carried out in the Gait Realtime Analysis Interactive Lab (GRAIL), a fully instrumented gait laboratory with virtual reality and enables assessment close to the conditions of daily life.

Results: In both cases the gait analysis confirmed the advantages associated with an EEP for the transmission of force to the prosthesis and the accompanying improvement in gait symmetry.

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经股截肢后的功能康复:椎体假体还是内-外假体?］

背景:经股骨截肢后需要假体来恢复自主站立和双足运动。假体的附着可以通过传统的在残肢中置入椎套悬吊或直接通过髓内经皮股骨假体(骨整合假体)植入来实现。目的:一个完全仪器化的步态分析应该能够客观化eeg在步态模式和个人活动方面的预期优势。材料和方法:对两例单侧经股截肢患者进行了全面的步态分析，分别在术前和术后6个月(患者1)、11个月和20个月(患者2)从套孔假体切换到EEP后进行了步态分析。这是在步态实时分析交互实验室(GRAIL)中进行的，这是一个全仪器化的步态实验室，具有虚拟现实功能，可以接近日常生活条件进行评估。结果:在这两种情况下，步态分析证实了脑电图在将力传递给假体以及随之而来的步态对称性改善方面的优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Unfallchirurg 医学-急救医学

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Unfallchirurg is an internationally recognised publication organ. The journal deals with all aspects of accident surgery and reconstruction surgery and serves the continuing medical education of surgeons and accident surgeons with own practices and those working in hospitals. Practically-oriented works provide an overview on selected topics and offer the reader a summary of current findings from all fields of accident surgery. Besides the imparting of relevant background knowledge, the focus is on the assessment of scientific findings under consideration of practical experience. The reader is given concrete recommendations for his/her practical work.