Aparicio Omar Carlos González, García Felipe Haces, Leonori Romáin Capdevila, García Víctor Rosas
Hospital Shriners para Niños, México.
Acta Ortop Mex. 2007 Sep-Oct;21(5):247-52.
To assess the prosthesis adaptability at use of pedestal and transtibial prosthesis, recognize the average average age of amputation surgery, and the complications of the amputation in patients with fibular hemimelia.
47 patients were evaluated, initially to adjust pedestal prosthesis and when this was not tolerated, we realize amputation and adaptation of transtibial prosthesis, we valued the average age of amputation surgery, the associate complications and the prosthesis adaptability we use the K system for functional ambulation.
Of the 12 patients to actually use pedestal prosthesis 9 (75%) had a K.2 level, 3 (25%) had a K-3 level, of the 35 patients to use transtibial prosthesis 1 (3%) had a K-2 level, 19 (54%) K-3 level, and 15 (43%) in the K-4 level. The average age to amputation surgery was 3.9 years old, one case had a complication.
The early prosthesis adaptability provides advantages in the functional ambulation, as demonstrated on the results. The goal of the transtibial amputation is to facilitate the prosthesis adaptability, is due to take advantage of the best functional adaptation the child in the first years of life, circumstance that improves the integral rehabilitation of the patient.
评估使用小腿假肢和经胫骨假肢时的假体适应性，确定腓骨半侧肢体发育不全患者截肢手术的平均年龄以及截肢并发症。
对47例患者进行评估，最初调整小腿假肢，若患者无法耐受，则进行截肢并适配经胫骨假肢，我们评估了截肢手术的平均年龄、相关并发症以及假体适应性，使用K系统评估功能步行能力。
在实际使用小腿假肢的12例患者中，9例（75%）达到K.2级，3例（25%）达到K-3级；在使用经胫骨假肢的35例患者中，1例（3%）达到K-2级，19例（54%）达到K-3级，15例（43%）达到K-4级。截肢手术的平均年龄为3.9岁，1例出现并发症。
如结果所示，早期的假体适应性在功能步行方面具有优势。经胫骨截肢的目的是促进假体适应性，这是因为要利用儿童在生命最初几年的最佳功能适应能力，这种情况可改善患者的整体康复效果。
