The prosthetic treatment of lower limb deficiency

Hirons, R. R.; Williams, K. B.; Amor, R. F.; Day, Harvey

doi:10.3109/03093649109164645

Cited by 11 publications

(6 citation statements)

References 2 publications

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“…International literature points out that unilateral lower-limb loss is the most frequent involvement in adult amputees, while multiple limb loss is seen in 20% of children with limb deficiency. These deficiencies mostly consisted of complex congenital malformations such as proximal focal femoral deficiency (Bryant and Pandian 2001; Hirons et al 1991; Kuyper et al 2001). According to the authors' results 34 (15%) children presented with bilateral deficiency, and three (1%) children showed trilateral deficiencies.…”

Section: Discussionmentioning

confidence: 99%

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Demography and Function of Children with Limb Loss

Yiğiter¹,

Ülger²,

Şener³

et al. 2005

Prosthetics &Amp; Orthotics International

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This retrospective study was designed for the period 1982-2002 to collect the basic data on the demography, level and side of the amputation, involved limbs, age, gender, and prosthetic functional level in children with limb loss. A total of 232 children were assessed through their prosthetic records. Seventy-two percent (195 children) presented lower-limb involvement, and 28% (77 children) had upper-limb loss. The age of the children varied between 1 and 15 years with a mean age of 9.90 +/- 2.32 years. Results of the study revealed that the leading amputation cause in children was congenital limb absence. The most frequent levels were determined as trans-tibial and trans-radial in lower and upper limbs, respectively. Findings showed that more boys (60%) were affected, and 84% of all amputations were found to be unilateral. It was also seen that right-side amputations (54%) were more common than left-side amputations (46%). The outcome of the study showed that 96% of children with lower-limb loss reached a functional gait pattern without any aids, while the percentage of independence in activities of daily living was found to be 88% in upper-limb loss.

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Section: Discussionmentioning

confidence: 99%

“…Demographic studies have established the preponderance of congenital limb loss to acquired limb loss as 2:1 (Masada et al 1986; Vannah et al 1999). The precise cause of congenital limb deficiencies is unknown, and defects of upper limbs are twice as common as those of the lower limbs (Hirons et al 1991).…”

Section: Introductionmentioning

confidence: 99%

Demography and Function of Children with Limb Loss

Yiğiter¹,

Ülger²,

Şener³

et al. 2005

Prosthetics &Amp; Orthotics International

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“…En cuanto al uso de prótesis, la edad promedio recomendada para iniciar su uso varía de los 6 a los 12 meses 27,28 , dependiendo del tipo y nivel de DC. En nuestros encuestados, la primera prótesis fue entregada en promedio a los 10 meses, cumpliendo con los estándares internacionales actuales; probablemente se debe a que el Instituto Teletón cuenta con un equipo clínico multidisciplinario especializado en el abordaje de niños con amputaciones.…”

Section: Discussionunclassified

Dolor fantasma en niños y jóvenes amputados congénitos: prevalencia y características clínicas

I.¹,

P.³

et al. 2020

Rehabil. integral.

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Introducción: El dolor es una patología discapacitante, que en niños está siendo abordada en los últimos tiempos, siendo el dolor fantasma en amputa-dos congénitos una complicación impensada hace algunos años, considerando teorías que describían que carecían de la madurez biológica suficiente para experimentarlo. Actualmente, existe literatura que reconoce una prevalencia de dolor fantasma de 3,7 a 20% en la población de amputados congénitos. Objetivo general: Evaluar población de amputados congénitos del Instituto Teletón Santiago para determinar incidencia, prevalencia lápsica y caracterís-ticas clínicas del dolor fantasma. Pacientes y Métodos: Estudio descriptivo de prevalencia, con revisión de ficha clínica para registro de variables demográ-ficas y clínicas, y aplicación de encuesta telefónica al total de pacientes que asintieran y contaran con el consentimiento de sus padres. Se incluyó a todos los pacientes de 10 o más años; se excluyó a los con hipoacusia asociada o con imposibilidad administrativa para contactarlos. Resultados: 57 pacien-tes, edad promedio 18,6 años, 59,6% con deficiencia longitudinal. Ningún paciente presentó dolor fantasma en el último mes en la población estudiada. la prevalecia lápsica fue de 7,0%. Un 24,6% refirió además presentar sensa-ción fantasma alguna vez en su vida y un 5,3% haber presentado dolor en el último año. Conclusión: Existe dolor fantasma en la población de pacientes amputados congénitos en los rangos de prevalencia encontrados en la literatura internacional contribuyendo a la evidencia existente. Este es el primer estudio en nuestro país que evalúa dolor en deficiencias congénitas y constituye una línea de base para estudios adicionales.

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“…В таких случаях принципиальным отличием является формирование собственного «коленного сустава», расположенного на уровне коленного сустава здоровой конечности, и, тем самым, появление дополнительных степеней подвижности конечности. Таким образом, ротированная кзади стопа размещается в приемной гильзе голени и имитирует короткую культю голени, манжета на бедро обеспечивает стабильную фиксацию протеза на конечности [25,49,50]. B.F. Alman et al проанализировали результаты клинической картины и рентгенологического исследования 16 пациентов с проксимальной формой эктромелии нижних конечностей, при этом из исследования были исключены пациенты с двусторонним поражением или множественными аномалиями, а также те, кому в перспективе возможно было провести удлинение бедра с целью выравнивания длины конечностей.…”

Section: лечениеunclassified

Medical abilitation of patients with proximal ectromelia of the lower limbs

Yakovleva

Анатольевна²,

Shvedovchenko

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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One of the rarest and most severe variants of underdevelopment is proximal ectromelia of the lower extremities, in which all segments of the lower limb are affected and the degree of damage decreases from proximal to distal direction. A review of the domestic and foreign literature sources that describe the various clinic-radiological variants of pathology was carried out, from the presence of a single rudimentary foot adjacent to the trunk to the presence of all three leg segments. The terminological designations of this type of underdevelopment were then analyzed. The term proximal ectromelia is proposed as the most appropriate clinical and radiological features of the pathology. With a severe degree of reduction of the limb, when the femur is absent or sharply hypoplastic, prosthetics is carried out in almost all patients. In this situation, surgical treatment is used as a preparatory stage to optimize the design of the future prosthesis. In addition, surgery is the main method of treatment in cases with a lighter degree of underdevelopment, in which case the technical means of rehabilitation are auxiliary. Therefore, despite the relative rarity of this pathology, its severity and medical and social significance determine the interest of specialists of the world community in the study of the problem.

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The prosthetic treatment of lower limb deficiency

Cited by 11 publications

References 2 publications

Demography and Function of Children with Limb Loss

Demography and Function of Children with Limb Loss

Dolor fantasma en niños y jóvenes amputados congénitos: prevalencia y características clínicas

Medical abilitation of patients with proximal ectromelia of the lower limbs

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