Witsø Eivind, Kristensen Tomm, Benum Pål, Sivertsen Svein, Persen Leif, Funderud Are, Magne Tordis, Aursand Hans Petter, Aamodt Arild
Department of Orthopaedic Surgery, St Olav's University Hospital, Trondheim, Norway.
Prosthet Orthot Int. 2006 Dec;30(3):270-8. doi: 10.1080/03093640600605013.
The use of arm prosthesis in trans-humeral amputees is limited; due to the cone form of the amputation stump. A Humerus-T-Prosthesis was implanted in three patients to create artificial humerus condyles. Two of the patients were successfully rehabilitated with the application of a new type trans-humeral arm prosthesis. This arm prosthesis had a socket which is suspended and stabilized by the humerus and implant only. Traction and rotational stability were secured by adjustable pressure adaptation around the artificial condyles. The third patient developed a pressure wound over the lateral part of the artificial condyle that later healed. He also was subject to a new trauma with a fracture of the ipsilateral scapula and until now has had limited the use of his new arm prosthesis. It was concluded that this new concept for prosthesis fitting of trans-humeral amputees looks promising, but alternative designs of the implant should be tested.
对于经肱骨截肢者而言,由于截肢残端呈锥形,臂部假肢的使用受到限制。三名患者植入了肱骨-T型假肢以制造人工肱骨髁。其中两名患者通过应用新型经肱骨臂部假肢成功康复。这种臂部假肢有一个承窝,仅由肱骨和植入物悬吊并稳定。通过围绕人工髁的可调节压力适配确保牵引和旋转稳定性。第三名患者在人工髁外侧出现了压疮,后来愈合了。他还遭受了同侧肩胛骨骨折的新创伤,到目前为止,他对新臂部假肢的使用受到限制。得出的结论是,这种经肱骨截肢者假肢适配的新概念看起来很有前景,但植入物的替代设计应进行测试。