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Related Experiment Videos

Better practical evaluation for lower limb amputees.

E A Marzoug1, T L Landham, C Dance

  • 1King's College Hospital. eltahirmarzoug@hotmail.com

Disability and Rehabilitation
|August 29, 2003
PubMed
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This study developed a practical tool using refurbished prostheses for amputees with doubtful potential. While 58% rejected prostheses, many still proceeded, showing cost savings and fairness.

Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Geriatric Medicine

Background:

  • Amputee rehabilitation faces challenges in selecting suitable prostheses for individuals with complex impairments.
  • High costs and wastage of new prostheses are concerns in prosthetic prescription.

Purpose of the Study:

  • To create a practical assessment tool for amputees with doubtful prosthetic potential.
  • To utilize refurbished, second-hand modular prostheses to reduce costs and improve selection fairness.

Main Methods:

  • Thirty-seven primary amputees with single or multiple impairments were assessed.
  • Participants used custom sockets and refurbished modular prostheses over a median of 4 weeks.
  • Liability was fully covered for all participants.

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Main Results:

  • 38% of 35 completers successfully proceeded to a definitive prosthesis.
  • 58% of amputees rejected the prostheses due to various factors like frailty, comorbidities (COAD, stroke), and deformities.
  • Two patients died during the assessment period.

Conclusions:

  • A high prosthetic rejection rate (58%) was observed in this group of amputees with doubtful potential.
  • The assessment method using refurbished prostheses is practical, fair, and cost-effective.
  • This approach offers a viable solution for managing prosthetic prescription in complex cases.