The Problem of Postoperative Stump in Patients with Transtibial Amputation as Viewed by Physiotherapist, Biomechanic and Prosthetic Specialists
Authors:
D. Kozáková 1; M. Janura 1; J. Rosický 2
Authors‘ workplace:
Katedra biomechaniky a technické kybernetiky, Fakulta tělesné kultury UP, Olomouc
; vedoucí katedry doc. Ing. J. Salinger CSc.
Katedra rehabilitace, Fakulta zdravotnických studií, Ostravská univerzita, Ostrava
1; vedoucí katedry doc. RNDr. M. Janura, Dr.
2
Published in:
Rehabil. fyz. Lék., 16, 2009, No. 3, pp. 102-108.
Category:
Original Papers
Overview
The first aim for achieving full value of life by patients after lower limb amputation is the tendency for early prosthesis fitting and achievement of conditions for early mobilization. For the realization of this aim it is necessary for mutual cooperation between experts from various fields. The main goals of comprehensive postoperative care are wound healing support, reduction of edema, and stump forming. The right choice of postoperative fixation, compressive therapy, and application of other kinesiotherapy techniques are essential. During the process of choosing prosthesis the selection of individual components and its alignment must fulfill functional demands of users, must minimize substitute mechanisms, and must assure effective movement and aesthetic appearance of prosthesis.
Key words:
compressive therapy, postoperative fixation, prosthesis, prosthetic alignment
Sources
1. BERKE, G. M.: Transtibial prostheses, In M. M. Lusardi, C. C. Nielsen (Eds.): Orthotics and prosthetics in Rehabilitation (2nd ed.). St. Louis, Saunders, 2007, s. 628.
2. Birgusová, G.: Standard fyzioterapie doporučený UNIFY ČR – Amputace dolní končetiny. Praha, UNIFY ČR, 2006.
3. Birgusová, G.: Včasná pooperační péče a příprava pacientů k aplikaci protézy. Sborník semináře Komplexní péče o amputované na dolní končetině. Ostrava, Ostravská univerzita v Ostravě, 2007.
4. Bowker, J. H.: Transtibial amputation: Surgical management. In D. G. Smith, J. W. Michael, J. H. Bowker (Eds.): Atlas of amputations and limb deficiencies surgical, prosthetic, and rehabilitation principles, (3rd ed.). Rosemont, American Academy of Orthopaedic Surgeons, 2004.
5. Broomhead, P., Dales, D., Hale, C. et al.: Evidence base clinical quidelines for the physiotherapy management of adults with lower limb prostheses. London, British Association of Chartered Physiotherapists in Amputation Rehabilitation, 2003.
6. Carroll, K., Binder, K.: Transtibial prosthetic designs. In K. Carroll, J. E. Edelstein, (Eds.): Prosthetic and patient management: A comprehensive clinical aproach. Thorofare (USA), SLACK, 2006.
7. Engstrom, B., Van de Ven, C. (Eds.): Therapy for amputees (3th ed.). London, Churchil Livingstone, 1999.
8. Fitzlaff, G., Heim, S.: Passteile für Prothesen der unteren Extremitaten. Dortmund, Verlag Orthopadie-Technik, 2002.
9. Gailey, R. S., Clark, R. S.: Physical therapy. In D. G. Smith, J. W. Michael, J. H. Bowker (Eds.): Atlas of amputations and limb deficiencies surgical, prosthetic, and rehabilitation principles, (3rd ed.). Rosemont, American Academy of Orthopaedic Surgeons, 2004, s. 589-619.
10. Gailey, R. S.: One step ahead – An integrated approach to lower extremity prosthetics and amputee rehabilitation. Miami, Advanced Rehabilitation Therapy, Inc., 1994.
11. Goldstein, B., Sanders, J.: Skin response to repetitive mechanical stress: a new experimental model in pig. Arch. Phys. Med. Rehabil., 79, 1998, 3, s. 265-267.
12. Johannesson, A., Larson, G. U., Larsson, B.: Multidisciplinární týmový přístup u amputací dolní končetiny a u následné rehabilitace. Sborník 2. konference ISPO ČR. Praha, ISPO, 2008.
13. Kazuko, L. S., Breakey, J. W., Werner, P. C.: Pressures at the residual limb-socket interface in transtibial amutees with thigh lacer-slide joints. J. Prosthet. Orthot., 10, 1998, 3, s. 51-55.
14. Klute, G. K., Berge, J. S., Segal, A. D.: Heel-region properties of prosthetic feet and shoes. J. Rehabil. Res. Dev., 41, 2004, 4, s. 535-546.
15. Klute, G. K., Kallfelz, C. F., Czerniecki, J. M.: Mechanical properties of prosthetic limbs: Adapting to the patient. J. Rehabil. Res Dev., 38, 2001, 3, s. 299-307.
16. Levy, S. W.: Skin problems in amputee. In D. G. Smith, J. W. Michael, J. H. Bowker (Eds.): Atlas of amputations and limb deficiencies surgical, prosthetic, and rehabilitation principles (3rd ed.). Rosemont, American Academy of Orthopaedic Surgeons, 2004.
17. Lusardi, M. M.: Postoperative and proprosthetic Care. In M. M. Lusardi, C. C. Nielsen (Eds.): Orthotics and prosthetics in rehabilitation (2nd ed.). St. Louis, Saunders, 2007.
18. May, B. J.: Amputation and prosthetics. A case study approach, (2nd ed.). Philadelphia, F. A. Davis Company, 2002.
19. Postema, K., Hermens, H. J., de Vries, J. et al.: Energy storage and release of prosthetic feet. Part 2: Subjective ratings of 2 energy storing and 2 conventional feet, user choice of foot and deciding factor. Prosthet. Orthot. Int., 21, 1997, 1, s. 28-34.
20. Rheinstein, J., Wong, CH. K., Edelstein, J. E.: Postoperative management. In K. Carroll, J. E. Edelstein (Eds.): Prosthetics and patient management: A comprehensive clinical approach. Thorofare, SLACK, 2006.
21. Ries, J. D., Brewer, K. M.: Transtibial prosthetic training and rehabilitation, In M. M. Lusardi, C. C. Nielsen (Eds.): Orthotics and prosthetics in rehabilitation (2nd ed.). St. Louis, Saunders, 2007.
22. Sanders, J. E., Greve, J. M., Clinton, C. et al.: Changes in interface pressure and stump shape over time: preliminary results from a trans-tibial amputee subject. Prosthet. Orthot. Int., 24, 2000, 2, s. 163-168.
23. Seelen, H. A., Anemaat, S., Janssen, H. M. et al.: Effects of prosthesis alignment on pressure distribution in the stump/socket interface in transtibial amputees during unsupported stance and gait. Clin. Rehabil., 17, 2003, 7, s. 787-796.
24. Seymour, R.: Prosthetics and orthotics. Lower limb and spinal. Baltimour, Lippincott Williams & Wilkins, 2002.
25. Schon, L. C., Short, K. W., Soupiou, O. et al.: Benefits of early prosthetic management of transtibial amputees: A prospective clinical study of prefabricated prosthesis. Foot Ankle Int., 23, 2002, s. 509-514.
26. Sitek, P.: Chirurgické postupy při amputacích na dolních končetinách. Sborník semináře Komplexní péče o amputované na dolní končetině. Ostrava, Ostravská univerzita v Ostravě, 2007.
27. Tam, E. W. C., Mak, A. F. T., Evans, J. H. et al.: Post occlusive hyperaemic of tissue under static and dynamic loading conditions. In: Proceedings of 20th Annual International Conference IEEE/EMBS, 1998, s. 2294-2296.
28. Van der Linde, H., Hofstad, Ch. J., Geurts, A. CH. et al.: A systematic literature review of the effect of different prosthetic components on human functioning with a lower-limb prosthesis. J. Rehabil. Res Dev, 41, 2004, 4, s. 555-570.
29. Wu, Y., Keagy, R. D., Krick, H. G.: An innovative removable rigid dressing technique for below the knee amputation. J. Bone Joint Surg., 61, 1979, s. 724-729.
30. Xiaohong, J., Zhang, M., Lee, C. C. W.: Load transfer mechanics between trans-tibial prosthetic socket and residual limb dynamic effects. J. Biomech., 37, 2004, 9, s. 1371-1377.
31. Zachariah, S. G., Sanders, J. E.: Standing interface stresses as a predictor of walking interface stresses in the trans-tibial prosthesis. Prosthet. Orthot. Int., 25, 2001, 1, s. 34-40.
32. Zhang, M., Turner-Smith, A. R., Roberts, V. C. et al.: Frictional action at lower limb/prosthetic socket interface. Med. Eng. Phys., 18, 1996, 3, s. 207-214.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2009 Issue 3
Most read in this issue
- Postural Strategy in the Course of Motor Development
- The Problem of Postoperative Stump in Patients with Transtibial Amputation as Viewed by Physiotherapist, Biomechanic and Prosthetic Specialists
- Possible Compensation of Constitutive Hypermobility by Exercise in the Fitness Center
- Therapeutic Solution of Lateral Instability of Astragalus Ligaments