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[New technologies in the prosthetic management after amputations].

作者信息

Schäfer M, Gawron O

机构信息

Pohlig GmbH, Grabenstätter Str. 1, 83278, Traunstein, Deutschland,

出版信息

Orthopade. 2015 Jun;44(6):445-57. doi: 10.1007/s00132-015-3121-0.

DOI:10.1007/s00132-015-3121-0
PMID:25990040
Abstract

BACKGROUND

In Germany around 70,000 amputations are carried out on extremities each year. Modern prosthetic functional components have become more and more sophisticated and must be understood and applied by their users to be of beneficial use in everyday life. The prosthetic socket is the most important component of modern extremity prosthetics.

OBJECTIVES

Which demands have to be met by a modern prosthetic socket so that innovative function-improving components in prosthetics can be successfully applied?

MATERIALS AND METHODS

Complex prosthetic technologies are rarely compatible with a lower overall weight of the prosthesis. The increase in functionality also produces differentiated force effects on the human body. Modern socket technologies, therefore, have to compensate for the increased strain and counteract the increasing dynamics between the stump and the prosthesis. This can be achieved through the application of adhesive socket materials and through new adhesive mechanisms. Form variants can also improve the connection between stump and prosthetic socket.

RESULTS

The improvements in prosthetic socket technology presented here have a lasting positive effect on the daily routine of many amputees. Not only do they improve the control and application of modern prosthetic components, but also clearly enhance the wearing comfort.

CONCLUSION

The prosthetic socket is crucial for the success of exoskeletal prosthetic management. The better we succeed in making the human body and the prosthetic socket an entity, the more usefully and comfortably innovative prosthetic methods can be applied.

摘要

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本文引用的文献

1
[The influence of the C-leg knee-shin system from the Otto Bock Company in the care of above-knee amputees. A clinical-biomechanical study to define indications].[奥托博克公司的C型腿膝-小腿系统在大腿截肢者护理中的影响。一项确定适应症的临床生物力学研究]
Orthopade. 2005 Apr;34(4):298, 300-314, 316-9. doi: 10.1007/s00132-005-0783-z.
2
A new trim line concept for trans-tibial amputation prosthetic sockets.
Prosthet Orthot Int. 2002 Aug;26(2):159-62. doi: 10.1080/03093640208726639.