Total surface bearing below-knee prosthesis: Advantages, disadvantages, and clinical implications
Total surface bearing below-knee prosthesis: Advantages, disadvantages, and clinical implications
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DOI：
10.1016/s0003-9993(98)90356-2
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发表时间：
1998-07-01
影响因子：
4.3
通讯作者：
Shinkoda, K
中科院分区：
文献类型：
--
作者：
Hachisuka, K;Dozono, K;Shinkoda, K
目的：目的：探讨全表面支撑（TSB）假体在膝下截肢患者中的应用，并确定其临床适应证。设计：病例系列。地点：大学医院和残疾人福利中心。患者：32名受试者，他们可以使用TSB假体行走，并且已经使用了髌腱支撑（或Kondylen-Bettung Munster）插座。主要结果指标：对TSB插座进行主观评估，包括总体评级和13个单项评级，结果：75%的受试者对TSB窝的整体满意度为95.5%，满意度为95.5%。在13个项目中，超过75%的患者认为舒适度、易于摆动、疼痛、活塞运动、紧密性、皮肤刺激、外观和耐久性良好。超过20%的人认为穿着、出汗、气味和染色较差。与TSB插座的整体满意度显着相关的项目是舒适性，易于摆动，活塞运动，而戴显着相关的unsatisfaction.Conclusion：TSB插座是适合和首选的许多截肢者受试者，但仍有一些问题有待解决。(C)1998年由美国康复医学大会和美国物理医学和康复学会。
Objective: To investigate the total surface bearing (TSB) prosthesis for below-knee amputee patients and to determine its clinical indications.Design: Case series.Setting: University hospital and the Welfare Center for the Disabled.Patients: Thirty-two subjects who could walk with the TSB prosthesis and had already used the patellar-tendon bearing (or Kondylen-Bettung Munster) socket.Main Outcome Measure: Subjective assessment of the TSB socket, consisting of an overall rating and ratings of 13 individual items, was performed, and results were analyzed with Fisher's exact test.Results: Seventy-five percent of the subjects were satisfied overall with the TSB socket. Of the 13 items, comfort, ease to swing, pain, piston movement, tightness, skin irritation, appearance, and durability were regarded as good by more than 75% of the patients. Donning, perspiration, odor, and staining were regarded as poor by more than 20%. Items that were significantly related with overall satisfaction with the TSB socket were comfort, ease to swing, and piston movement, while donning was significantly related to dissatisfaction.Conclusion: The TSB socket is suitable for and preferred by many amputee subjects, but some problems remain to be solved. (C) 1998 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.