Medicina v Kuzbasse (Jun 2018)
SIGNIFICANCE OF NEW NON-PLASTER TECHNOLOGIES OF EARLY PRIMARY PROSTHETICS AS AN INEQUITABLE PART OF MEDICAL REHABILITATION OF DISABLED PEOPLE AFTER BELOW-AND ABOVE KNEE AMPUTATION
Abstract
Subject. Primary prosthesis of patients after below-and above knee amputation. Objective. Show the significance of the developed new technology of early primary prosthetics by the express methods after amputation of the lower leg and thigh to increase the level of their rehabilitation and social adaptation. Methods. An optimal standard size range of receiving adjustable sleeves for primary prosthetics by the express method was developed for right-sided and left-sided amputation defects of the lower leg and thigh and scientific and practical studies of the results of their application in the early periods after amputations were carried out. Results. The new technology of early primary prosthetics by the express method provides an opportunity to restore the ability to move earlier, to reduce the aggravation of functional limitations after above and below knee amputation. This technology does not require high financial costs due to the possibility of multiple use of the same adjustable socket with a modular connection for other patients, facilitates the choice of the optimal configuration and design of the prosthesis, taking into account the dynamics of changes shape of the stump and the physical activity. This technology can be used in treatment practice in clinics, hospitals of prosthetic and orthopedic enterprises or rehabilitation centers before the design of an individual program for the rehabilitation of a disabled person, as well as for prosthetic help in special situations. Conclusion. The developed new technology of early primary prosthetics for the lower limbs allows to significantly shorten the terms of prosthetics for early recovery of the ability to move and self-service, to reduce the aggravation of functional limitations after above and below knee amputation , without additional costs to determine the optimal equipment of the prosthesis and to adjust the design of it, taking into account the individual characteristics of the disabled person and disorders typical of elderly patients suffering from diseases vessels of the lower extremities.
