Silicone soft socket system: Its effect on the rehabilitation of geriatric patients with transfemoral amputations

Trieb, Klemens; Lang, Thomas; Stulnig, Thomas M.; Kickinger, Wolfgang

doi:10.1016/s0003-9993(99)90192-2

Cited by 10 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[20][21][22][23][24][25][26][27] Researchers have been working on the development of new suspension systems that can increase the options available to clinicians. 4,[28][29] The ability to measure pistoning helps when evaluating the quality of a suspension system in a lower limb prosthesis. [30][31][32][33] Many different methods have been utilized for measuring pistoning movement of the stump or the position of the bone.…”

mentioning

confidence: 99%

Pistoning assessment in lower limb prosthetic sockets

Eshraghi

Osman²,

Gholizadeh³

et al. 2012

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

Background: One of the main indicators of the suspension system efficiency in lower limb prostheses is vertical displacement or pistoning within the socket. Decreasing pistoning and introducing an effective system for evaluating pistoning could contribute to the amputees’ rehabilitation process.Objectives: The main objective of this study was to review existing research studies that examine the occurrence of pistoning in lower limb prosthesis with different techniques in static (standing) and dynamic (walking and jumping) positions.Study Design: Literature review.Methods: Keywords related to slippage, suspension, pistoning and vertical movement in lower limb prosthetics were used to search the literature available in PubMed, ScienceDirect, Web of Science and Google Scholar databases. Sixteen articles were selected for further analysis according to the selection criteria.Results: The following methods have been used to measure the occurrence of pistoning in prosthetic limbs: radiological methods, photographic technique, motion analysis system, sensor and spiral computerized tomography (CT). Pistoning was measured both in standing and walking.Conclusions: The results of this review reveal that further research is needed to develop and evaluate easy, accurate and safe methods of measuring pistoning. Future studies should provide a gold standard for the acceptable range of pistoning in a prosthetic socket.Clinical relevanceThis literature review contributes to a further understanding of lower limb prosthetic biomechanics by highlighting the strengths and weaknesses of the techniques that are currently available for evaluating the occurrence of pistoning in a prosthetic socket. It provides a useful overview of the current methods of measuring residual limb movements relative to the socket and liner, and will be of use for both practitioners and researchers in prosthetics and orthotics fields.

show abstract

mentioning

confidence: 99%

Pistoning assessment in lower limb prosthetic sockets

Eshraghi

Osman²,

Gholizadeh³

et al. 2012

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

show abstract

“…Providing elderly or even geriatric patients with prostheses results in certain challenges that need to be addressed and resolved. Atrophic skin conditions with the possibility of stump skin breakdown, reduced capacity of wound healing because of multimorbidity and vascular or metabolic disease are only an excerpt of a various number of issues which have to be taken care of [8,16]. In our study we present the results of a large cohort of transtibial amputees provided with a prosthesis outfitted with a silicon liner system (IRS).…”

Section: Discussionmentioning

confidence: 99%

“…In the late 1980s, the USA and Iceland developed new models of silicone suspension systems, including the 3-S system [7] and the Icelandic roll-on silicone socket (ICEROSS system, IRS [ICEROSS, Ossur, Reykjavik, Iceland]) [14] to address these problems. The effects of these systems have already been proven for transfemoral amputees [16] and even transtibial amputees [5]. Nevertheless, systematic reviews do not support liner systems as a general solution without reservation [4,13].…”

Section: Introductionmentioning

confidence: 99%

Silicone soft socket system for the treatment of geriatric transtibial amputees

Boyer

Trieb

2020

Wien Klin Wochenschr

Self Cite

View full text Add to dashboard Cite

Background Outfitting geriatric amputees with a suitable prosthesis is a demanding task. The aim of this study was to determine the effect of prostheses outfitted with a silicone suspension interface system on a large group of transtibial amputees regarding walking distance, satisfaction of use and duration of daily use. Methods The study included 75 mostly geriatric transtibial amputees fitted with a rigid total contact socket with a silicone interface system called an Icelandic roll-on silicone socket (ICEROSS, Ossur, Reykjavik, Iceland). At follow-up 54 patients remained for assessment. Ambulatory performance was measured by first categorizing the patients into four subgroups regarding their walking capacity: 0-50 m, 50-100 m, 100-500 m and >500 m. The alteration in patient mobility was measured at admission, discharge and follow-up. Satisfaction and duration of daily use as well as use of walking aids were collated with a standard questionnaire. Results Between admission and discharge, patients showed significant improvement (p = <0.001) in walking distances. The walking distance diminished again between time of discharge and follow-up (p = <0.001). The parameters satisfaction with device and duration of daily use showed no significant differences and the same applied to male and female subjects.

show abstract