Rush Matthew N, Hagin Evan, Nguyen Jane, Lujan Victoria, Dutton Rebecca A, Salas Christina
Nanoscience and Microsystems Engineering, The University of New Mexico, Albuquerque, New Mexico.
Center for Biomedical Engineering, The University of New Mexico, Albuquerque, New Mexico.
Univ N M Orthop Res J. 2019;8:93-97.
Amputations are long-standing surgical procedures that have been performed for centuries; however, very little attention and urgency have been given to immediate restoration of movement and return to a normal lifestyle. In many cases, the time between amputation and prosthetic fitting can pause recovery and development of new routines. To increase recovery, immediate postoperative prostheses (IPOPs) have been developed yet these are under-utilized because of concerns for wound healing and complications with vascular diseases. Subsequently, we designed a transtibial IPOP that utilizes an ergonomic modifiable socket that allows for examination, wound care, and in situ edema control. Additionally, the IPOP facilitates early weight bearing and protects the amputated limb from external trauma postoperatively. Our purpose is to introduce this technology and describe how its unique design will serve to provide potential benefits and positive effects on patients who have undergone amputations.
截肢手术是已经实施了几个世纪的长期外科手术;然而,对于运动功能的即刻恢复和回归正常生活方式,人们给予的关注和紧迫感却非常少。在许多情况下,截肢与安装假肢之间的时间可能会使恢复过程和新日常活动的形成停滞。为了加快恢复进程,人们研发了术后即刻假肢(IPOP),但由于担心伤口愈合以及血管疾病并发症,这些假肢并未得到充分利用。随后,我们设计了一种经胫部IPOP,它采用了符合人体工程学的可调节接受腔,便于进行检查、伤口护理和原位水肿控制。此外,IPOP有助于早期负重,并在术后保护截肢肢体免受外部创伤。我们的目的是介绍这项技术,并描述其独特设计将如何为截肢患者带来潜在益处和积极影响。