Wright T W, Hagen A D, Wood M B
Department of Orthopaedics, Mayo Clinic, Rochester, MN, USA.
J Hand Surg Am. 1995 Jul;20(4):619-22. doi: 10.1016/S0363-5023(05)80278-3.
Patterns of use of contemporary prostheses by 135 patients with major upper extremity amputations were evaluated by questionnaire. Eighty-four percent of the patients were male and 16% were female. Amputation levels represented were below elbow, 44%; above elbow, 40%; and shoulder disarticulations or forequarter amputations, 16%. The follow-up interval averaged 12 years (range, 1-67 years). One hundred and thirteen patients were fitted with either a myoelectric or body-powered prosthesis. The overall rejection rate was 38%. Thirty-nine of 42 in the below-elbow amputation group used the prosthesis and appeared to benefit the most. Eight of 141 in the wrist disarticulation group used the prosthesis: as did 9 of 21 in the above-elbow amputation group. In contrast, all bilateral amputees used their prostheses. Stiff shoulders and brachial plexus injury were both predictors for poor prosthetic usage.
通过问卷调查评估了135例主要上肢截肢患者使用当代假肢的情况。患者中84%为男性，16%为女性。截肢水平分布如下：肘以下截肢占44%；肘以上截肢占40%；肩关节离断或上肢部分截肢占16%。随访间隔平均为12年（范围1 - 67年）。113例患者装配了肌电或体控动力假肢。总体拒绝率为38%。肘以下截肢组42例中有39例使用了假肢，似乎受益最大。腕关节离断组141例中有8例使用了假肢；肘以上截肢组21例中有9例使用了假肢。相比之下，所有双侧截肢患者都使用了他们的假肢。肩部僵硬和臂丛神经损伤都是假肢使用不佳的预测因素。
