在切割截肢后的步行速度和脚部压力的调查
Kazuo Ouchi1, Mari Sato1, Yuki Kashiwabara1
1Department of Rehabilitation Medicine, School of Medicine, Fukushima Medical University.
Fukushima journal of medical science
|March 18, 2024
概括
切肢截肢可以导致足部形. 在一个病人身上,将乔帕特截肢与肌手术和假肢相结合,改善了33%的步行速度,并减少了59%的茎压.
科学领域:
- 整形外科手术 整形外科手术
- 假肢和整形手术
- 生物力学 生物力学
背景情况:
- 切肢截肢带有足部形和功能障碍的高风险.
- 肌移植和延长等手术技术旨在减轻这些风险.
- 本研究侧重于一个特定的案例,以评估功能性结果.
研究的目的:
- 为了研究假肢对乔帕特截肢后步行速度和脚部压力的影响.
- 评估联合手术技术 (肌移植和延长) 在预防足部形方面的有效性.
主要方法:
- 一个78岁的男性患者的案例研究,他接受了Chopart截肢,肌转移和延长.
- 评估步行速度和脚部压力测量,有或没有定制脚假肢.
- 功能结果的分析,包括承重能力和推开能力.
主要成果:
- 患者可以在脚跟上承受重量,但没有假肢就缺乏推卸能力.
- 随着假肢的使用,步行速度增加了33% (从0.6米/秒到0.8米/秒).
- 随着假肢的使用,脚部对茎部的压力下降了59% (从129.3 N/cm2降至51.6 N/cm2).
结论:
- 假肢足部显著提高了步行速度,并降低了足部压力,在这个Chopart截肢病例中.
- 结合的手术方法 (肌移动和延长) 似乎可以预防足部形.
- 这一案例凸显了假肢使用和外科创新的潜在好处,用于管理切肢截肢.
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