建立共识的处方的假体组件为关节骨的四肢:一个国际德尔菲方法研究研究
Eric J Earley1, Dan W Milius2, Mohamed E Awad1
1Bone-Anchored Limb Research Group, University of Colorado Anschutz Medical Campus, Aurora, CO; Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO.
Archives of physical medicine and rehabilitation
|June 29, 2025
概括
这项研究建立了关于为患有骨四肢 (BAL) 患者选择假肢组件的国际共识. 建议侧重于患者的能力,而不是年龄或性别,指导未来的临床实践.
科学领域:
- 生物医学工程 生物医学工程
- 康复医学 康复医学 康复医学
- 假肢和整形手术
背景情况:
- 骨肢体 (BAL) 假肢为肢体损失提供了先进的解决方案.
- 缺乏在BAL患者中选择假肢组件的标准指南.
- 德尔菲方法适用于在临床实践中达成专家共识.
研究的目的:
- 为了建立第一个国际共识,对移植骨固定肢体 (BAL) 患者的假肢组件选择.
- 在BAL护理中为假肢组件的处方提供基于证据的指导.
- 确定未来BAL假肢研究的不确定性领域.
主要方法:
- 一项为期三轮的德尔菲研究,涉及18名国际临床专家在BAL假肢护理.
- 匿名数字调查分发给多个国家的专家 (美国,瑞典,荷兰,澳大利亚,加拿大).
- 共识被定义为对有关假肢组件和处方的主题陈述的至少80%的同意.
主要成果:
- 在48个专题陈述中,在BALs中选择假肢组件的34个问题上达成了总体一致 (≥80%).
- 专家们一致认为,处方应该基于患者的身体能力和功能目标,不论年龄或性别.
- 共识与现有的下肢假肢指南一致,包括微处理器膝盖,但强调了关于负载保护安全硬件的不确定性.
结论:
- 确定的共识主题为临床医生为BAL患者开处方假肢组件提供了关键指导.
- 这种共识是制定未来骨肢体假肢临床实践指南的基础.
- 该研究突出了知识差距,为有针对性的研究铺平了道路,以提高BAL护理中的安全性和功能结果.
更多相关视频
相关概念视频
01:55Bone Structure
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
01:03Structural Joints: Fibrous Joints
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:07Development of the Limb Synovial Joints
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
01:30Method of Joints: Problem Solving I
The method of joints is a commonly used technique to analyze the forces in structural trusses. The method is based on the principle of equilibrium, which assumes that the truss members are connected by frictionless pins. The forces at each joint can be determined by considering the equilibrium of the forces acting on that joint. Consider a truss structure with two forces of 20 N and 10 N acting at joints C and D, respectively. The method of joints can be used to determine the forces FCB, FDC,...