McGrath M, McCarthy J, Gallego A, Kercher A, Zahedi S, Moser D
Blatchford Group, Unit D Antura, Bond Close, Basingstoke, RG24 8PZ, UK.
Endolite North America, Miamisburg, OH, USA.
Can Prosthet Orthot J. 2019 Aug 1;2(1):32723. doi: 10.33137/cpoj.v2i1.32723. eCollection 2019.
Good residual limb skin health is vital to successful prosthetic prescription. Unnatural loading profiles and excessive sweating can lead to skin and soft tissue problems. Perforated liners allow the transport of moisture away from the skin and allow negative pressure (a condition that has been shown to aid wound healing) to act directly on the residuum surface.
Assess the effects of perforated prosthetic liner use, particularly with respect to wound healing.
Three patient histories were retrospectively reviewed following prescription of perforated prosthetic liners due to excessive sweating or prolonged residual limb health concerns. Photographic records from patient files were used to document changes in residual limb condition. Patients also provided subjective feedback regarding their experiences.
Two cases described active amputees with persistent blistering irritated during exercise. Another case described a patient of low mobility level with a history of residual limb skin infections. All saw their conditions heal and reported a reduction in problematic sweating. Two patients reported cancelling surgical interventions after substantial improvements with the perforated liner.
These findings provide evidence that the use of perforated prosthetic liners allow improvements in residual limb health, while still permitting prosthetic use.
良好的残肢皮肤健康对于成功开具假肢处方至关重要。不自然的负荷分布和过度出汗会导致皮肤和软组织问题。多孔内衬可使水分从皮肤排出，并使负压（已证明这种状态有助于伤口愈合）直接作用于残肢表面。
评估使用多孔假肢内衬的效果，尤其是对伤口愈合的影响。
回顾了三例患者的病史，这些患者因出汗过多或长期存在残肢健康问题而开具了多孔假肢内衬。使用患者病历中的照片记录来记录残肢状况的变化。患者还提供了关于他们经历的主观反馈。
两例描述的是活跃截肢者，在运动期间持续出现水泡且感到不适。另一例描述的是一名活动能力较低的患者，有残肢皮肤感染史。所有患者的病情均痊愈，且报告出汗问题有所减轻。两名患者报告在使用多孔内衬有显著改善后取消了手术干预。
这些发现提供了证据，表明使用多孔假肢内衬可改善残肢健康，同时仍可使用假肢。
