The Osseointegration Group of Australia Accelerated Protocol (OGAAP-1) for two-stage osseointegrated reconstruction of amputated limbs
The Osseointegration Group of Australia Accelerated Protocol (OGAAP-1) for two-stage osseointegrated reconstruction of amputated limbs
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DOI：
10.1302/0301-620x.98b7.37547
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发表时间：
2016-07-01
影响因子：
4.6
通讯作者：
Glatt, V.
中科院分区：
文献类型：
--
作者：
Al Muderis, M.;Tetsworth, K.;Glatt, V.
目的本研究描述了澳大利亚骨整合小组针对截肢骨整合重建的加速方案两阶段策略 (OGAAP-1)。 患者和方法我们报告了 50 名平均年龄为 49.4 岁（24 至 73 岁）的单侧经股截肢者的临床结果，并进行了至少一年的随访。结果测量包括针对经股骨截肢者的问卷、健康评估问卷 Short-Form-36 健康调查、以 K 级表示的截肢活动预测分数、6 分钟步行测试和计时起跑测试。不良事件包括软组织问题、感染、骨折和植入物故障。结果我们的结果表明，所有五项结果指标均取得了统计学上的显着改善。总共 27 名患者经历了不良事件，但在研究结束时，所有 50 名患者都使用骨整合假肢行走。结论这些结果表明，对于经历与接受腔相关不适的截肢者来说，骨整合假肢是接受腔安装装置的合适替代品，并且我们的策略比其他类似方案提供更快的步行进展。
AimsThis study describes the Osseointegration Group of Australia's Accelerated Protocol two-stage strategy (OGAAP-1) for the osseointegrated reconstruction of amputated limbs.Patients and MethodsWe report clinical outcomes in 50 unilateral trans-femoral amputees with a mean age of 49.4 years (24 to 73), with a minimum one-year follow-up. Outcome measures included the Questionnaire for persons with a Trans-Femoral Amputation, the health assessment questionnaire Short-Form-36 Health Survey, the Amputation Mobility Predictor scores presented as K-levels, 6 Minute Walk Test and timed up and go tests. Adverse events included soft-tissue problems, infection, fractures and failure of the implant.ResultsOur results demonstrated statistically significant improvements in all five outcome measures. A total of 27 patients experienced adverse events but at the conclusion of the study, all 50 were walking on osseointegrated prostheses.ConclusionThese results demonstrate that osseointegrated prostheses are a suitable alternative to socket-fit devices for amputees experiencing socket-related discomfort and that our strategy offers more rapid progress to walking than other similar protocols.