O'Keeffe Bernard, Rout Shraddha
Otto Bock Health Care India, Mumbai, Maharashtra, India.
Indian J Plast Surg. 2019 Jan;52(1):134-143. doi: 10.1055/s-0039-1687919. Epub 2019 Apr 29.
Lower limb amputations form a considerable number with 5,436,000 Indians having locomotor disability. Most members of this group are young, active earning males. The major cause of amputation is trauma. Hence, this population must be rehabilitated with priority, and best concerted efforts must be made by the medical community. In this article, the authors present available modern technologies in India and share best practices from their experience of treating Indian amputees for the past 20 years. The objective is to demonstrate to the medical community the optimal outcomes that can be achieved and help them make correct decisions on behalf of patients and their families. The article discusses history of prostheses, how to select optimal amputation level, preamputation preparation, determinants of good outcomes, preprosthetic preparation, components of prosthesis, their function and significance, rehabilitation process and guidelines, prescription criteria, and also special considerations such as multiple amputees or children.
下肢截肢的人数相当可观，有543.6万印度人患有运动障碍。这个群体中的大多数是年轻、活跃的有收入的男性。截肢的主要原因是创伤。因此，必须优先对这一人群进行康复治疗，医学界必须做出最大的协同努力。在本文中，作者介绍了印度现有的现代技术，并分享了他们在过去20年中治疗印度截肢者的经验中的最佳实践。目的是向医学界展示可以实现的最佳效果，并帮助他们代表患者及其家属做出正确的决定。本文讨论了假肢的历史、如何选择最佳截肢水平、截肢前准备、良好效果的决定因素、假肢前准备、假肢组件、其功能和意义、康复过程和指南、处方标准，以及诸如多肢截肢者或儿童等特殊考虑因素。
