Control of the residual tibia in transtibial amputation.

Abstract:

:Eight transtibial amputees had localized unremitting discomfort and pain in the distal anterior residual limb during prosthetic wear while weightbearing. Modification of the prosthetic socket did not change this pain. It was not consistent with "phantom limb" or causalgia/reflex sympathetic dystrophy-type etiologies. Thirteen randomly selected, pain-free, transtibial amputees were selected for comparison. The subjects in both groups used similar total-contact, "patellar tendon-bearing" prosthetic sockets fabricated and aligned with similar technique. The angles formed between the femur and tibia, femur and prosthetic socket, and tibia and socket were measured. Significant differences were found at each angle measurement between those patients who experienced pain and those who did not. The variable of tibia length had no effect. We conclude that bone alignment within the transtibial total-contact prosthetic socket may be partially dependent on surgical technique and not solely on prosthetic socket configuration.

journal_name

Foot Ankle Int

authors

Pinzur MS,Reddy N,Charuk G,Osterman H,Vrbos L

doi

10.1177/107110079601700905

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

538-40

issue

9

eissn

1071-1007

issn

1944-7876

journal_volume

17

pub_type

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