Furtado Michael, Carneglia Joseph, Fletcher Rebecca, Spitaletto Lindsay, Swift Summer
Department of Physical Therapy, University of Texas Medical Branch, Galveston, TX, USA.
Adv Rehabil Sci Pract. 2024 Aug 31;13:27536351241271538. doi: 10.1177/27536351241271538. eCollection 2024 Jan-Dec.
The purpose of this study was to qualitatively assess the first-hand lived experiences of patients with amputation who had transitioned from a traditional socket (TS) to Osseointegration (OI) to impact their overall quality of life (QOL) and function.
This was a qualitative phenomenological study. Participants who had a unilateral transfemoral amputation and fit the study's inclusion criteria were interviewed in a semi-structured format regarding their quality of life and function before and after transitioning from a traditional socket (TS) to Osseointegration (OI). Responses were then analyzed through line-by-line coding to determine themes that were relevant to QOL outcomes for this study.
Eleven participants were interviewed in this study. The qualitative analysis demonstrated an emergence of 6 main themes consisting of "Improved Quality of Life," "Supportive Community," "Previous Ill-fitting Socket," "Greater Function," "Improved Osseo-perception," and "Promotion of Community Accessibility". Strengths included the use of an OI-specific quality of life assessment with adapted questions from validated outcome measures, international participants, and use of thematic analysis for data analysis. Weaknesses included sample size, niche participant population, and OI as a revision procedure only. More research is still necessary to explore/determine the benefits and detriments of Osseointegration as an alternative to traditional sockets for prosthetic devices.
Individuals who have undergone Osseointegration procedure discuss being more satisfied with their prosthesis and quality of life when compared to their previous experience of a traditional socket.
This is a first of its kind study reporting on the lived experiences of those who have undergone OI. The field of amputation rehabilitation is expanding rapidly and knowing how this procedure impacts quality of life is important for healthcare professionals to understand as new frontiers are explored in this field.
本研究旨在定性评估从传统假肢接受腔（TS）过渡到骨整合（OI）的截肢患者的第一手生活体验，以了解其对整体生活质量（QOL）和功能的影响。
这是一项定性现象学研究。对符合研究纳入标准的单侧经股骨截肢参与者进行半结构化访谈，询问他们从传统假肢接受腔（TS）过渡到骨整合（OI）前后的生活质量和功能情况。然后通过逐行编码分析回答内容，以确定与本研究QOL结果相关的主题。
本研究共访谈了11名参与者。定性分析显示出现了6个主要主题，包括“生活质量提高”“支持性社区”“先前不合适的假肢接受腔”“功能增强”“骨整合认知改善”和“促进社区可达性”。优点包括使用特定于OI的生活质量评估，采用来自有效结局测量指标的改编问题、纳入国际参与者以及使用主题分析进行数据分析。缺点包括样本量、特定的参与者群体以及OI仅作为一种翻修手术。仍需要更多研究来探索/确定骨整合作为传统假肢接受腔替代方案的利弊。
与使用传统假肢接受腔时的先前体验相比，接受骨整合手术的个体对其假肢和生活质量更满意。
这是第一项报道接受OI者生活体验的同类研究。截肢康复领域正在迅速扩展对于医疗保健专业人员来说了解这一手术如何影响生活质量很重要，因为在该领域正在探索新的前沿问题。
