PROSTHETIC USAGE IN MAJOR UPPER EXTREMITY AMPUTATIONS
PROSTHETIC USAGE IN MAJOR UPPER EXTREMITY AMPUTATIONS
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DOI：
10.1016/s0363-5023(05)80278-3
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发表时间：
1995-07-01
影响因子：
1.9
通讯作者：
WOOD, MB
中科院分区：
文献类型：
--
作者：
WRIGHT, TW;HAGEN, AD;WOOD, MB
通过问卷调查对135例上肢大截肢患者使用现代假体的模式进行了评估。84%的患者为男性，16%为女性。截肢水平为肘以下，44%;肘以上，40%;肩关节离断或前半身截肢，16%。随访时间平均为12年（范围，1-67年）。113例患者安装了肌电或身体动力假肢。总拒绝率为38%。肘下截肢组的42名患者中有39名使用了假体，并且似乎受益最大。腕关节离断组141人中有8人使用了假体，肘上截肢组21人中有9人使用了假体。相反，所有双侧截肢者都使用了假肢。僵硬的肩膀和臂丛神经损伤都是假体使用不良的预测因素。
Patterns of use of contemporary prostheses by 135 patients with major upper extremity amputations were evaluated by questionnaire. Eighty-four percent of the patients were male and 16% were female. Amputation levels represented were below elbow, 44%; above elbow, 40%; and shoulder disarticulations or forequarter amputations, 16%. The follow-up interval averaged 12 years (range, 1-67 years). One hundred and thirteen patients were fitted with either a myoelectric or body-powered prosthesis. The overall rejection rate was 38%. Thirty-nine of 42 in the below-elbow amputation group used the prosthesis and appeared to benefit the most. Eight of 141 in the wrist disarticulation group used the prosthesis: as did 9 of 21 in the above-elbow amputation group. In contrast, all bilateral amputees used their prostheses. Stiff shoulders and brachial plexus injury were both predictors for poor prosthetic usage.