Primary prosthetics as a medical and technical rehabilitation of disabled people with amputation stumps of the lower extremities

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Abstract

Primary prosthetics was performed in 320 patients ( aged 16—78 years) with lower limb stumps at different level. The amputation was carried out due vascular pathology of various genesis (70% of cases), injury (25%)), frostbite sequelae, oncologic lesions and chronic osteomyelitis (5%). For the determination of the prosthesis use regimen complex examination including functional diagnosis methods was performed to all patients. Taking into account the individual peculiarities of stump and presence of concomitant pathology the primary-permanent prosthesis was made. Prosthetics results were evaluated 2—6 months after stump tissue atrophy development. Good results were achieved in 152 patients (67.9%)), satisfactory in 48 (21.4%)) and unsatisfactory in 24 (10.7%)) out of 224 rehospitalized patients.

About the authors

B. D. Duvidovich

Federal Scientific and Practical Center for Expertise and Rehabilitation of the Disabled

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

S. V. Sergeev

Peoples' Friendship University of Russia

Email: info@eco-vector.com
Russian Federation, Moscow

S. I. Puzin

Federal Scientific and Practical Center for Expertise and Rehabilitation of the Disabled

Email: info@eco-vector.com
Russian Federation, Moscow

B. G. Spivak

Federal Scientific and Practical Center for Expertise and Rehabilitation of the Disabled

Email: info@eco-vector.com
Russian Federation, Moscow

M. I. Panteleev

Federal Scientific and Practical Center for Expertise and Rehabilitation of the Disabled

Email: info@eco-vector.com
Russian Federation, Moscow

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Supplementary files

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1. JATS XML
2. Rice. 1. The receiving sleeve of the leg prosthesis.

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3. Rice. Fig. 2. Patient P. (type II diabetes mellitus): a — stump of the right lower leg in the middle third (on the left — a fabricated prosthesis); b — a patient on a leg prosthesis.

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4. Rice. 3. Receiving sleeve of the hip prosthesis (a); assembled prosthesis without cosmetic finishing (b); a patient with a post-traumatic stump of the right thigh in the middle third on the prosthesis (c).

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