Malone J M, Fleming L L, Roberson J, Whitesides T E, Leal J M, Poole J U, Grodin R S
J Rehabil Res Dev. 1984 May;21(1):33-41.
This series is composed of 47 patients who underwent immediate, early, or late postoperative prosthetic fitting after upper-limb amputation. The purpose of this review was to analyze the impact of rapid postoperative fitting on upper-limb amputation, and to assess general prosthetic prescription and guidelines for upper-limb amputees. It would appear that in adult amputations there is a "Golden Period" of fitting for upper-limb prosthetic devices and this period appears to be within the first month after amputation. There appears to be no difference in ultimate prosthetic acceptance rate or use patterns as a function of the type of prosthesis initially provided. Based upon this combined review between the Tucson and Atlanta VA Medical Centers, the authors would suggest that all upper-limb amputees be fitted as rapidly as possible (within 30 days) with conventional prosthetic devices, and when they have shown motivation and skill in the use of conventional devices, then to re-evaluate them for appropriate externally powered prosthetic components.
该系列研究包括47例上肢截肢后立即、早期或晚期进行假体装配的患者。本综述的目的是分析术后快速装配对上肢截肢的影响，并评估上肢截肢者的一般假体处方和指导原则。似乎在成人截肢中，上肢假肢装置的装配存在一个“黄金期”，这个时期似乎在截肢后的第一个月内。根据最初提供的假体类型，最终的假体接受率或使用模式似乎没有差异。基于图森和亚特兰大退伍军人事务医疗中心之间的综合综述，作者建议所有上肢截肢者尽快（在30天内）装配传统假肢装置，当他们在使用传统装置方面表现出积极性和技能时，再对他们进行重新评估，以确定是否适合使用外部动力假肢组件。
