Abstract
The use of motion analysis techniques in amputee rehabilitation often utilizes kinematic data from the prosthetic limb. A problem with methods currently used is that the joint positions of the prosthetic ankle are assumed to be in the same position as that of an intact ankle. The aim of this study w...
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PMID: 20471145
PDF is available here.
Abstract
We present a 37-year-old male patient, ASA physical status I, undergoing debridement and grafting for incomplete arm whose upper extremity (forearm) was amputated due to electric shock; motor response to nerve stimulation was not possible. With the help of US, lateral sagittal infraclavicular block...
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PMID: 20865586
PDF is available here.
Journal of Trauma (69 Suppl 1)supplement 2010
Abstract
Although no difference was identified in the overall prevalence of HO, there are inconsistencies in the possible underlying causes of HO between the two cohorts. Further research is required in an ongoing effort to determine a causal relationship between treatment and subsequent HO formation....
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PMID: 20622605
PDF is available here.
Abstract
This study conducted to assess the factors related to skin lesions in bilateral lower limb war-amputees. This is a clinical based, cross-sectional study of 335 bilateral amputees who injured during Iran-Iraq War. Their demographics and injuries detail, amputation, prosthesis and gait-aid characteris...
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PMID: 20415141
PDF is available here.
Abstract
This study aims to evaluate the effectiveness of trans-electric nerve stimulation (TENS) for phantom limb pain applied to contralateral limb (nonamputated limb).
Two detailed single case studies using TENS on the contralateral limb are reported in a longitudinal study...
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PMID: 19788713
PDF is available here.
Abstract
This study aims to evaluate the effectiveness of trans-electric nerve stimulation (TENS) for phantom limb pain applied to contralateral limb (nonamputated limb).
Two detailed single case studies using TENS on the contralateral limb are reported in a longitudinal study...
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PMID: 19788713
PDF is available here.
Abstract
Compensatory strategies were found in both transtibial and transfemoral groups, with a forward shift of the mean positions of the center of pressure under the amputated leg and greater resultant center of pressure displacements appearing along the anteroposterior axis, respectively. The transfemoral...
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PMID: 19661773
PDF is available here.
Abstract
The aim of this study was to examine the efficacy of the operative method of modified osteomyoplasty in relation to primary "guillotine" amputation in Croatian war amputees. From 1995 to 2000 a total of 425 patients underwent transtibial amputation for their war-related injuries. From these group, 5...
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PMID: 19891228
PDF is available here.
Abstract
We present the previously unreported hazard of creating pressure ulceration in a susceptible host by the improper use of a silicone prosthetic liner. An 80-yr-old man sustained a recent transtibial amputation for peripheral vascular disease. His comorbidities included vascular cognitive impairment,...
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PMID: 18971772
PDF is available here.
Abstract
This article reports an analysis of 75 consecutive lower limb amputees who developed painful neuroma requiring surgical excision after lower limb amputation following landmine explosions. This retrospective study analyses the results of 75 patients who were treated for painful neuroma after lower li...
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PMID: 17940765
PDF is available here.
Abstract
There was no evidence of local or systemic complication related to the procedure. Five patients (83.3%) had clinically significant improvement of adequate circulation at the distal limb for the complete healing. Four of them had complete healing of ischemic ulcers and stumps of toe amputation. Howev...
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PMID: 19301723
PDF is available here.
Abstract
An experimental method was developed to determine the effects of prosthetic ankle mobility in the sagittal plane on the gaits of transfemoral amputees wearing a stance and swing (SNS) phase controlled knee prosthesis. Specially designed ankles with different ranges of motion in the sagittal plane we...
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PMID: 19278201
PDF is available here.
Abstract
For the rehabilitation after limb amputation is an as possible long stump necessary including good wound healing. For the vascular patient are the following amputation levels suitable: syme amputation, amputation of the lower leg, knee exarticulation, above knee amputation and very seldom hip exarti...
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PMID: 19259929
PDF is available here.
Abstract
Despite therapeutic improvements in the treatment of arterial circulatory problems of the leg, several tens of thousands of amputations are performed every year. The amputation is not the end of the treatment but is the beginning of the rehabilitation. Decisive criteria for a successful rehabilitati...
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PMID: 19259933
PDF is available here.
Abstract
Several trials, including disconnecting and reconnecting one electrode and disturbing the signal with synthetic noise, were performed to test the fusion techniques. The results given by VWA and DKF were transformed into joint coordinates and used as command signals to the robotic arm. Even though th...
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PMID: 19243627
PDF is available here.
Abstract
We initiated proof of concept with computational modeling of the electric fields and current densities that arise during electrical stimulation of amputee residual limbs. In order to provide insure patient safety, subjects with retrospective computed tomography scans were selected and three dimensio...
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PMID: 19609251
PDF is available here.
Abstract
This technique, which has shown similar success rates to trials of a virtual mirror box, is relatively cheap and portable, and will allow further trials in a home environment....
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PMID: 19191061
PDF is available here.
Abstract
The forearm free fillet flap harvested from the amputated limb provides reliable and robust tissue for reconstruction of large defects of the residual limb without additional donor-site morbidity. Microsurgical free fillet flap transfer to amputation sites is valuable for achieving wound closure, im...
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PMID: 18942657
PDF is available here.
Abstract
We decided to use the US to better target the stump neuroma. Color flow Doppler showed extensive vascularity around the posterior aspect of the neuroma where there was scar tissue. During a follow-up visit for intra-articular steroid injection to the L5-S1 left lumbar facet for coincidental lumbar f...
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PMID: 19333177
PDF is available here.
Abstract
Apotemnophilia, Amputee Identity Disorder or Body Integrity Identity Disorder (BIID) is the intensive feeling that the body will be "more complete" after amputation of a limb. The article disputes the question of matching personality characteristics of these subjects and asks for motives. Based on r...
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PMID: 19101876
PDF is available here.
Abstract
We report a pilot study that showed how amputees can experience a robot-like advanced hand prosthesis as part of their own body. We induced a perceptual illusion by which touch applied to the stump of the arm was experienced from the artificial hand. This illusion was elicited by applying synchronou...
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PMID: 19863429
PDF is available here.
Abstract
We have developed a protocol for managing these patients and their wounds within a high dependency, intensive-care unit, using allograft as an adjunct in preparing the tissue bed before autografting. This protocol includes optimisation of nutritional needs, microbiological surveillance and definitiv...
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PMID: 17825634
PDF is available here.
Abstract
While many experts in the care of amputees believe that the distal tibiofibular bone-bridge technique improves patient functional outcomes, our small group of patients treated with this procedure did not appear to have better outcomes than a group of patients treated successfully with a standard sur...
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PMID: 19047714
PDF is available here.
Abstract
An elective case of cross-transfer of the right hand to the left distal forearm stump is reported in a long-standing left radial-carpal amputee who developed a contralateral cerebrovascular accident with severe right-sided spasticity. The thumb column of the right hand was transposed to the ulnar si...
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PMID: 19084184
PDF is available here.
Abstract
We describe how upper limb amputees can be made to experience a rubber hand as part of their own body. This was accomplished by applying synchronous touches to the stump, which was out of view, and to the index finger of a rubber hand, placed in full view (26 cm medial to the stump). This elicited a...
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PMID: 19074189
PDF is available here.
Abstract
The model revealed that the weigh scale might in fact be applying much higher and less uniform stresses on the bone than expected. During walking, high stress occurred at various locations of the implanted region, which was different from the patterns of stress distribution during weight bearing exe...
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PMID: 18809231
PDF is available here.
Abstract
Myoelectric transradial prosthesis users compensate for lack of wrist and forearm movement differently depending on the task. Compensatory motion in torso bending occurs while opening a door. For the box lift task, prosthesis users rely more on the sound arm and torso bending. While drinking from a...
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PMID: 18675497
PDF is available here.
Abstract
Soft-tissue and osseous balancing of forefoot and midfoot amputations is imperative to provide the patient with a stable, durable, and functional residual foot. This article discusses reproducible methods for balancing transmetatarsal and Lisfranc amputations in high-risk patients, with detailed exp...
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PMID: 18722903
PDF is available here.
Abstract
Internal pedal amputation consists of resection of the metatarsals, midtarsal bones, or talus with preservation of the toes and soft-tissue envelope. Although used in the past for the treatment of tuberculosis within the pedal skeleton, internal pedal amputations have become almost forgotten, histor...
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PMID: 18722904
PDF is available here.
Abstract
We proposed a new approach to improve the control of prosthetic arm rotation in amputees. Arm rotation is sensed by implanting a small permanent magnet into the distal end of the residual bone, which produces a magnetic field. The position of the bone rotation can be derived from magnetic field dist...
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PMID: 18713682
PDF is available here.
Abstract
Twenty subjects were amputated on the right side (76.92%). The majority underlying was diabetes mellitus (80.77%). Fifteen cases of amputation were peripheral vascular disease (57.69%). The stump volume reduction of the RRD group at 2 and 4 weeks were 42.73 +/- 62.70 and 79.9 +/- 103.33 cm3, respect...
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PMID: 18843876
PDF is available here.
Abstract
The crude major lower limb amputation procedure rate is 8.8 per 100,000 of the population per year in Taiwan. From January 2002 to October 2006, patients that received major lower limb amputation in our department were enrolled in this study. Retrospective chart reviews concerning different factors...
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PMID: 18724135
PDF is available here.
Abstract
BTX-A may be an effective treatment for residual limb hyperhidrosis, resulting in subjective improvement in prosthesis fit and functioning. BTX-A should be considered as a method to manage excessive sweating in the residual limb of traumatic amputees....
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PMID: 18586144
PDF is available here.
Abstract
A lack of co-contraction may predispose to knee instability or laxity, resulting in additional shear stress on the internal structures of the knee, especially in below-knee amputee (BKA) subjects. The purposes of this study were: (1) to provide information on how BKA children regulate agonist and an...
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PMID: 17276084
PDF is available here.
Abstract
We present a case of a pediatric patient with a Chopart amputation who demonstrated genu recurvatum during ambulation. After experimenting with many different types of prostheses, he had persistent lower-limb pain. We prescribed a Chopart prosthesis with a flexible inner socket and a carbon fiber en...
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PMID: 18496252
PDF is available here.
Abstract
The TracerCAD system is one of the leading prosthetic CAD systems in the world and is increasingly used in clinics to replace traditional methods of residual limb shape capture. Accurate dimensional capture of the residuum is arguably the most important process in the production of a prosthetic sock...
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PMID: 18569882
PDF is available here.
Abstract
A patient suffering from diabetes and a trans-tibial amputation presented with stump wounds caused by improper donning of the liner. His diminished hand function resulted in improper donning, with air being trapped between the liner and stump. This caused blisters on the skin after loading the prost...
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PMID: 18569889
PDF is available here.
Abstract
The aim of this study was to investigate the relationship between liner-related skin problems of the stump in patients with a lower limb amputation and impaired hand function. Sixty patients who were treated in a rehabilitation hospital from 1998-2006 were included in an historic cohort study. Data...
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PMID: 18569886
PDF is available here.
Abstract
The walls of the anterior tibial artery, posterior tibial artery, and the popliteal artery were stiff and the lumens were filled with atheromatous plaque. The sural arteries opening to the bole artery was frequent. The collateral circulation at the knee perimeter was raritan rather affluent at the m...
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PMID: 18630438
PDF is available here.
Abstract
Fifty-seven patients (mean age 34.6 +/- 19.2 years) had amputations in 58 limbs. Trauma leading to limb gangrene following treatment by traditional bone setters was the most common indication for amputation (64%). Approximately 76% of the amputations were in the lower limbs. Wound infection occurred...
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PMID: 18546993
PDF is available here.
Abstract
We present the first case report of bilateral lower extremity salvage with a single rectus abdominis myocutaneous free flap by transecting the main pedicle. The pedicle of the free flap, going to the contralateral extremity, was safely divided at 6-weeks postoperation. A tourniquet was used to compr...
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PMID: 18434821
PDF is available here.
Abstract
All nine branch-based conjoined perforator flaps were successfully transferred without any major complications. The preferred donor site was equally distributed among the anterior thigh, trunk, and lower abdomen. On three occasions, the subfascial branches ultimately arose from a common "mother" ves...
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PMID: 18453988
PDF is available here.
Abstract
Of these 142 patients, 139 (97.9%) were males and 3 (2.1%) were females. The reasons for amputation in the majority of the cases were wounds due to mine explosion (n = 114, 80.3%) and gunshot wounds (n = 19, 13.4%). The other reasons were arterial diseases, traffic accidents, congenital absence of t...
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PMID: 18412862
PDF is available here.
Abstract
All upper-arm amputations were trauma related (100%) and secondary to industrial accidents (4), motor vehicle and motorcycle accidents (2), fall (1), and train (1). Patient age ranged from 16 to 62 years and polytrauma was noted in 50%. Procedures included 6 composite free fillet flaps and 2 radial...
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PMID: 18362566
PDF is available here.
Abstract
Irish LLAs maintain functional capacity despite suffering moderate intensity BP and RLP....
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PMID: 18071781
PDF is available here.
Abstract
Peripheral nerve surgery plays a significant role in the treatment of chronic pain associated with amputation stumps. After conservative treatment methods have been exhausted, a treatment algorithm for peripheral nerve surgery is successful in improving or resolving chronic pain and the quality-of-l...
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PMID: 18317139
PDF is available here.
Abstract
The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well-d...
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PMID: 18252182
PDF is available here.
Abstract
We present a case of a sciatic nerve block performed with the nerve stimulation technique. This technique is normally not used in amputees because detection of a motor response to an electrical stimulation is impossible. In our patient the stimulation provoked a phantom sensation of movement in the...
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PMID: 18252185
PDF is available here.
Abstract
The exoskeletal prosthetic care of the upper extremities poses a variety of challenges to the experienced orthopaedic technician. In addition to the clinical factors which are initially decisive, such as general condition, amputation level, condition of the stump and resilience, the patient must be...
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PMID: 18322899
PDF is available here.
Abstract
Included are 2 unilateral and 3 bilateral forearm amputees and 6 patients with upper arm amputation. Only males were seen with a mean age of 32 years. Amputation occurred following polytrauma in 3 cases while in the other 8 cases the amputated limb was unreconstructably mangled. 8 patients wear a pr...
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PMID: 18322897
PDF is available here.
Abstract
Tibiocalcaneal Pirogoff arthrodesis can be a surgical alternative in forefoot and midfoot destructions to achieve a well-covered, comfortable stump with a minimum of leg-length shortening that is easy to fit with a prosthesis and even allows some limited barefoot mobility. Bony fixation and healing...
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PMID: 18231775
PDF is available here.
Abstract
The authors relate a case of cutaneous cover of the ankle and the right foot on a leg with precarious vascularization by the inner flap of the thigh with a serious burnt person the left leg amputated. The flap, which has been autonomized first before being set apart, got a well development and allow...
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PMID: 17949881
PDF is available here.
Abstract
The purpose of this case study was to review the 10-year outcome of a patient with a history of diabetes, pedal osteomyelitis, and peripheral vascular disease, who underwent a Chopart's amputation of the right foot. Key evaluative elements to consider for long-term success of any amputation include...
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PMID: 18590897
PDF is available here.