[经股截肢后的功能康复：骨干假体还是内外侧组合假体？]

[Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?].

作者信息

Richter Katherina, Krause Katharina, Rotter Robert, Fischer Dagmar-C, Aschoff Horst-H, Mittlmeier Thomas

机构信息

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Rostock, Deutschland.

Kinder- und Jugendklinik, Universitätsmedizin Rostock, Rostock, Deutschland.

出版信息

Unfallchirurg. 2022 Apr;125(4):266-274. doi: 10.1007/s00113-022-01148-1. Epub 2022 Feb 25.

DOI:10.1007/s00113-022-01148-1

PMID:35212810

Abstract

BACKGROUND

After transfemoral amputation a prosthesis is required to restore autonomous standing and bipedal locomotion. Attachment of the prosthesis can be achieved either classically via socket suspension with a shaft in the stump or directly via implantation of an intramedullary transcutaneous femoral prosthesis (osseointegrated prosthesis).

AIM

A fully instrumented gait analysis should enable objectification of the anticipated advantages of the EEP with respect to the gait pattern and individual mobility.

MATERIAL AND METHODS

In two patients with a unilateral transfemoral amputation a comprehensive gait analysis was carried out prior to and 6 months (patient 1) or 11 and 20 months (patient 2) after switching from a socket prosthesis to an EEP. This was carried out in the Gait Realtime Analysis Interactive Lab (GRAIL), a fully instrumented gait laboratory with virtual reality and enables assessment close to the conditions of daily life.

RESULTS

In both cases the gait analysis confirmed the advantages associated with an EEP for the transmission of force to the prosthesis and the accompanying improvement in gait symmetry.

摘要