Abstract:
BACKGROUND:Nowadays, a transfemoral amputation prosthesis can be fitted to the skeleton using an osseointegrated implant, that is, without a socket. Treated patients have reported improvements in quality of life. OBJECTIVES:To investigate differences in prosthetic costs and service of osseointegrated prostheses compared to socket-suspended prostheses. STUDY DESIGN:Retrospective cost analysis and survey. METHODS:Costs and noted visits during in mean ~10 years were taken from one prosthetic workshop and included 50 patients with unilateral transfemoral amputation (36 socket-suspended prostheses, 20 osseointegrated prostheses, 6 patients used both kinds of prostheses). A survey comprised 71 patients (69% males; mean age = 52.3 year; cause: 66% trauma, 23% tumour, 11% other). RESULTS:Statistically significant fewer workshop visits were shown with osseointegrated prostheses compared to socket-suspended prostheses (cost analysis: 3.1 vs. 7.2 visits/year, survey: 3.4 vs. 9.2 visits/year). The mean total annual cost of new prostheses, services, repairs and adjustments was 14% lower for osseointegrated prostheses than socket-suspended prostheses (€3149 and €3672 respectively, p = 0.632). A subgroup analysis of recent produced prostheses revealed cost of material to account for 92.5% for osseointegrated prostheses and 70% for socket-suspended prostheses. CONCLUSION:Despite significantly fewer visits for prosthetic service the annual mean costs for osseointegrated prostheses were comparable with socket-suspended prostheses. This study suggests it is due to more advanced prosthetic components being used with osseointegrated prostheses. Clinical relevance Patients with osseointegrated transfemoral prostheses require fewer visits for prosthetic service than patients with socket-suspended prostheses. The total prosthetic cost does not seem to differ between the two kinds of prostheses. However, more sophisticated prosthetic knees were more frequently used with osseointegrated prostheses, which could explain the lack of differences.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Haggstrom EE,Hansson E,Hagberg Kdoi
10.1177/0309364612454160subject
Has Abstractpub_date
2013-04-01 00:00:00pages
152-60issue
2eissn
0309-3646issn
1746-1553pii
0309364612454160journal_volume
37pub_type
杂志文章abstract::The Locomotor Capability Index (LCI) is widely used for assessing goals and achievements of patients receiving prostheses. The Stanmore-Kingston Splat method for graphical display of the results has previously been described and is based on four levels of achievement for each of the 14 tasks in the index. Recently a m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640903214083
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The functional performance of currently available body-powered prostheses is unknown. OBJECTIVE:The goal of this study was to objectively assess and compare the functional performance of three commonly used body-powered upper limb terminal devices. STUDY DESIGN:Experimental trial. METHODS:A total of 21 ab...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614554030
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND AND AIM:Stair ascent is a particularly challenging task for transfemoral amputees. The aim of this clinical note was to describe the kinematic features of foot clearance in transfemoral amputee who can ascend stairs using a step-over-step strategy. TECHNIQUE:The marker trajectories of the first metatarsopha...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613497049
更新日期:2014-08-01 00:00:00
abstract::The concept of measuring pressure at the interface between the stump and the prosthetic socket could provide valuable information in the process of prosthetic socket fabrication, modification, and fit. Two systems, the Rincoe Socket Fitting System (SFS) and Tekscan's F-Socket Pressure Measurement System, have been com...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640008726523
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES:The objective of this study was to test and explore the clients' perspectives with the application...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616683982
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The advanced reciprocating gait orthosis (ARGO) has a rigid structure which provides restricted movement at the hip, knee, and ankle joints and incorporates a pelvic section with an extended section in the lumbar region. Healthy subjects, when walking with an RGO in situ, could feasibly demonstrate the level...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615592699
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. OBJECTIVES:To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation....
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617752983
更新日期:2018-08-01 00:00:00
abstract::Telehealth has the potential to be a valuable tool for technical and clinical support of computer controlled prosthetic devices. This pilot study examined the use of Internet-based, desktop video conferencing for remote configuration of the Otto Bock C-Leg. Laboratory tests involved connecting two computers running Mi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640208726638
更新日期:2002-08-01 00:00:00
abstract::One of the most important problems for the bilateral upper limb deficient patient is the inability to manage toileting activities. Dependence in this area precludes schooling or work. This paper surveys available clothing types and adaptations to facilitate doffing and donning clothing and devices for genital cleansin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
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更新日期:1980-04-01 00:00:00
abstract::The effects of introducing the Team Approach to the management of the lower limb amputee has been assessed in a consecutive series of 233 patients over a five year period. During the first year, baseline data was collected and during the subsequent yearly phases the effects of introducing a physiotherapist co-ordinato...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648709079376
更新日期:1987-04-01 00:00:00
abstract:BACKGROUND AND AIM:It is difficult to measure foam model shapes using contact digitizers because the stylus contact tends to get stuck in the soft foam. The aim of this paper is to describe a technique to overcome this challenge and to assess its effect on digitizer error. TECHNIQUE:A controlled laboratory study was c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364610394478
更新日期:2011-06-01 00:00:00
abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640309167979
更新日期:2003-04-01 00:00:00
abstract::If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909164695
更新日期:1979-04-01 00:00:00
abstract::This paper reports a study of 66 upper limb amputees in County Funen, Denmark who were visited in their homes by the author. The purpose of this study was to evaluate for the same period of time the social and economic outcome for a population of upper limb amputees compared with the normal population. The number of a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164304
更新日期:1992-04-01 00:00:00
abstract:BACKGROUND:The incidence and etiology of prosthetic services utilization is poorly understood during the first 90 days post-delivery of the initial lower limb prosthesis. This period is of critical importance, as prevailing policy dictates limits on the reimbursement for certain services provided during this time perio...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618774053
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Few studies have explored the effects of exercise on gait performance in people with lower limb amputations. OBJECTIVES:To (1) summarize the effects of exercise programs on gait performance and (2) assess the overall quality of the evidence for adults ambulating with leg prostheses. STUDY DESIGN:Systematic...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
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更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Dysvascularity is the main cause of lower limb amputations in Scotland, and there is an insignificant proportion (1.7%) of knee disarticulations, despite the benefits of amputation. OBJECTIVES:The outcomes of knee disarticulation and its associated surgical techniques will be evaluated based on healing, rea...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364615574163
更新日期:2016-08-01 00:00:00
abstract::Falling represents a health risk for lower limb amputees fitted with an osseointegrated fixation mainly because of the potential damage to the fixation. The purpose of this study was to characterize a real forward fall that occurred inadvertently to a transfemoral amputee fitted with an osseointegrated fixation while ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640903585024
更新日期:2010-03-01 00:00:00
abstract::A new type of above-knee socket has been designed to provide total surface support and to dispense with ischial bearing as the primary weight bearing area. The socket is based upon the hypothesis that if the soft tissues of an above-knee stump are adequately supported in a suitably shaped container they will behave un...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909103096
更新日期:1979-12-01 00:00:00
abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
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更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analy...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Reduced-stiffness components are often prescribed in lower-limb prostheses, but their efficacy in augmenting shock absorption has been inconclusive. OBJECTIVES:To perform a systematic variation of longitudinal prosthetic stiffness over a wide range of values and to evaluate its effect on shock absorption du...
journal_title:Prosthetics and orthotics international
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更新日期:2017-04-01 00:00:00
abstract::The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164653
更新日期:1991-08-01 00:00:00
abstract:BACKGROUND:Until recently, no study had compared the quality of life of persons with transfemoral amputation treated with osseointegration to socket prosthesis users. OBJECTIVES:Comparison of quality of life in two types of prostheses users: a cohort of patients with osseointegration and patients equipped with a socke...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620948649
更新日期:2020-08-25 00:00:00
abstract:BACKGROUND:Relatively little is known about spine during gait compared to movement analysis of the lower extremities. The trunk is often regarded and analysed as a single rigid segment and there is a paucity of information on inter-segmental movement within the spine and its relationship to pelvis and lower limbs. OBJ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615579319
更新日期:2016-10-01 00:00:00
abstract::Prefabricated ICEROSS (Icelandic Roll On Silicone Socket) sockets have been in use in Iceland since early 1986. Use of custom-made silicone sockets began several years earlier, and a paper devoted to the subject was presented at the 1984 AOPA Assembly by the author of this article. The ICEROSS system is primarily used...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649309164354
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND:Protective knee braces are used for rehabilitation or prevention. Due to poor patient compliance or slippage, the brace might be misaligned with the knee axis. OBJECTIVES:Does a misaligned knee brace stress the anterior cruciate ligament? STUDY DESIGN:It is an experimental study. METHODS:A strain sensor w...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:The important purpose of a powered gait orthosis is to provide active joint movement for patients with spinal cord injury. OBJECTIVES:The aim of this study was to clarify the effect of a powered gait orthosis on the kinematics and temporal-spatial parameters in paraplegics with spinal cord injury. STUDY DE...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
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更新日期:2013-08-01 00:00:00
abstract::This study examines the evidence which supports the importance of maintaining relative abduction for effective reciprocal walking in high level paraplegic patients. In comparisons of orthoses, where this can only be achieved mechanically, those with higher lateral rigidity consistently showed greater levels of walking...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509080352
更新日期:1995-08-01 00:00:00
abstract::Forty three patients with unilateral traumatic amputations were reviewed as to the use of prostheses and employment consequences of the amputation. Seventeen of 19 below-elbow amputees, and 12 of 24 above-elbow amputees used their prostheses. Non-users compared to users of prostheses were characterized by: 1) Higher l...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648809079390
更新日期:1988-04-01 00:00:00