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新型无插座假体概念助力范内斯旋转成形术后实现舒适且无磨损的骑行。

New Socket-Less Prosthesis concept facilitating comfortable and abrasion-free cycling after Van Nes rotationplasty.

作者信息

Scheepers Lisan G, Storcken Joep O, Rings Frans, van Horn Yvette, Seelen Henk A

机构信息

Adelante Rehabilitation Centre, Hoensbroek, The Netherlands

Livit Orthopedie BV, Hoensbroek, The Netherlands.

出版信息

Prosthet Orthot Int. 2015 Apr;39(2):161-5. doi: 10.1177/0309364613515494. Epub 2014 Jan 15.

DOI:10.1177/0309364613515494
PMID:24429482
Abstract

BACKGROUND AND AIM

Current leg prostheses in rotationplasty typically feature a thigh cuff, which, in cycling, may cause perspiration problems and friction-related abrasions of the skin. The aim has been to develop a socket-less prosthetic device for persons with a rotationplasty to be able to engage in high-intensity cycling without contracting abrasions.

TECHNIQUE

The new device (Socket-Less Rotationplasty Prosthesis for Cycling) features a standard cycling shoe on the rotationplasty foot, replacing the conventional socket and thigh cuff. A reinforced 12-layer carbon fibre frame bolted to the aforementioned shoe, replacing the standard tube, connects to a prosthetic foot and a second cycling shoe. Alignment of the Socket-Less Rotationplasty Prosthesis for Cycling is done both statically and dynamically.

DISCUSSION

The Socket-Less Rotationplasty Prosthesis for Cycling is lightweight and more ventilated relative to conventional sockets. All components can be replaced easily. Most important, however, is that the current user now can cycle 135 km on end without skin abrasions.

CLINICAL RELEVANCE

The Socket-Less Rotationplasty Prosthesis for Cycling concept enables patients with a leg rotationplasty to engage in high-intensity cycling without contracting skin problems, thereby facilitating clients' participation.

摘要

背景与目的

目前旋转成形术中使用的腿部假肢通常带有大腿袖套,在骑行时可能会导致出汗问题以及与摩擦相关的皮肤擦伤。目标是为旋转成形术患者开发一种无承窝假肢装置,使其能够进行高强度骑行而不会出现擦伤。

技术

新装置(用于骑行的无承窝旋转成形术假肢)在旋转成形术足部配备了标准的骑行鞋,取代了传统的承窝和大腿袖套。一个用螺栓固定在上述鞋子上的加固12层碳纤维框架取代了标准管材,连接到假足和另一只骑行鞋。用于骑行的无承窝旋转成形术假肢的对线在静态和动态条件下均已完成。

讨论

用于骑行的无承窝旋转成形术假肢重量轻,相对于传统承窝透气性更好。所有部件都可轻松更换。然而,最重要的是,目前的使用者现在能够连续骑行135公里而无皮肤擦伤。

临床意义

用于骑行的无承窝旋转成形术假肢概念使腿部旋转成形术患者能够进行高强度骑行而不会出现皮肤问题,从而促进患者的参与。

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