Abstract
Postamputation prostheses for the lower extremities help reduce medical complications and improve patients overall function. However, there were drawbacks with these postoperative prostheses that limited their use. A recent development is a newly designed ischial weight-bearing prosthesis used postoperatively. We performed a random review of 12 amputee patients retrospectively to determine whether there were any complications with its use. There were no major complications, such as infection or wound dehiscience, present with use of this new ischial weight-bearing prosthesis when compared with a “nonused” control group. A benefit of earlier independent ambulation is suggested with its use. A future prospective study of the ischial weight-bearing prosthesis when given the first postoperative day will be necessary to determine more accurately whether there is a significant benefit for the postamputee patient.
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REFERENCES
Bonner, F. J., and Green, R. F. (1982). Pneumatic air leg prosthesis report of 200 cases. Arch. Phys. Med. Rehabil. 63: 383–385.
Burgess, E. M., and Romano, R. L. (1968). Management of lower extremity amputees using immediate postsurgical prostheses. Clin. Orthoped. Rel. Res. 57:137–146.
Burgess, E. M., Romano, R. L., and Zettle, J. H. (1969). Amputation management utilizing immediate postsurgical prosthetic fitting. Prosth. Int. (kbh) 3: 28–37.
Caplan, L. M., and Hackett, T. P. (1963). Emotional effects of lower limb amputation in the aged. New Eng. J. Med. 269: 1166–1191.
Christiansen, C. H., Schwartz, R. R., and Barnes, K. J. (1993). Self-care: Evaluation and management. In Delisa, J. A., and Gans, B. M. (eds.), Rehabilitation Medicine Principles and Practice, 2nd Ed., JB Lippinott, Philadelphia, pp. 186–187.
Cohen, S. L., Goldman, L. D., Salzman, E. W., and Glotzer, D. J. (1974). The deleterous effects of immediate post-operative prosthesis in below knee amputation for ischemic disease. Surgery 76: 992–1001.
Compere, C. L. (1968). Early fitting of prostheses following amputation. Surg. Clin. N. Am. 48: 215–226.
Gerhardt, J., King, P. S., Pierson, G. A., Fowlks, W., and Altman, D. C. (1970). Immediate post-surgical prosthetics rehabilitation aspects. Am. J. Phys. Med. 49 (special issue): 3–104.
Gilitz, B. (1968). Early ambulation following lower extremity amputation. Rocky Med. J. 65: 49–52.
Golbranson, F. L., Asbelle, C., and Strand, D. (1968). Immediate post surgical fitting and early ambulation. Clin. Orthoped. Rel. Res. 56: 119–130.
Harrington, I. J., Esses, S. I., and White, R. C. (1984). Use of a pylon for early ambulation after below-knee amputation: A preliminary report. Can. J. Surg. 27:(5) 500–502.
Kerstein, M. D. (1974). Utilization of an air splint after below knee amputation. Am. J. Phys. Med. 53: 119–126.
Kottke, F. J. (1966). The effects of limitation of activity upon the human body. JAMA 196:825–830.
Kraker, D., Pinzur, M., Daley, R., Osterman, H. (1986). Early post-surgical prosthetic fitting With a prefabricated plastic limb. Orthopedics 9: 989–992.
Moore, W. A., Hall, A. D., and Wylie, E. J. (1968). Below-knee amputation for vascular insufficiency. Arch. Surg. 7: 886–893.
Otteman, M. G. (1965). Stahlgren L. H. Evaluation of factors which influence mortality and morbidity following major lower extremity amputations for arteriosclerosis. Surg. Gynec. Obster. 120: 1217–1220.
Russek, A. S. (1969). Immediate postsurgical fitting of the lower extremity amputee: Research experience with 175 cases. Med. Clin. N. Am. 53: 665–676.
Simpson, E. B. (1967). Psychological aspects of amputees of a lower limb. Lancet 87: 429–431.
Warren, R., and Kihn, R. B. (1969). A survey of lower extremity amputations for ischemia. Surgery 63: 107–120.
Weiss M. Physiologic Amputation (1969), Immediate prosthesis, and early ambulation. Prosth. Int. (kbh) 3: 38–44.
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Ryan, D.M. A Newly Designed Postoperative Ischial Weight-Bearing Proximal Contact Lower-Limb Prosthesis. International Journal of Rehabilitation and Health 4, 253–257 (1998). https://doi.org/10.1023/A:1022970930470
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DOI: https://doi.org/10.1023/A:1022970930470