Functional performance and safety of bone-anchored prostheses in persons with a transfemoral or transtibial amputation: a prospective one-year follow-up cohort study.
Clin Rehabil
; 33(3): 450-464, 2019 Mar.
Article
en En
| MEDLINE
| ID: mdl-30537856
ABSTRACT
OBJECTIVES:
(1) To compare level of function, activity, health-related quality of life (HRQoL) and satisfaction in persons with a lower extremity amputation before surgery and 6- and 12-months after implantation of an osseointegration implant and (2) to report adverse events.DESIGN:
Prospective cohort study.SETTING:
University medical centre.SUBJECTS:
A total of 40 consecutive persons (median age 56 years) who received a transfemoral (31) or transtibial (9) osseointegration implant, between April 2014 and March 2016. INTERVENTION Osseointegration implant surgery followed by a predefined rehabilitation programme. MAINMEASURES:
Hip abductor strength, prosthetic use, back pain frequency, postoperative pain, mobility level (Timed-Up and Go (TUG) and wheelchair-boundedness), walking ability (6 minute walking test (6MWT) and walking distance in daily life), HRQoL, satisfaction regarding the prosthesis, and adverse events.RESULTS:
Strength, prosthetic use, walking distance, HRQoL, and satisfaction level increased significantly at 6- and 12-month follow-up compared to baseline ( P ⩽ 0.002). The TUG showed no change at 6-month follow-up ( P = 0.420) but improved significantly at 12-month follow-up compared to baseline ( P = 0.005). Wheelchair-boundedness decreased from 12/40 participants at baseline to 0 at follow-ups. The 6MWT ( P ⩾ 0.038) and back pain ( P ⩾ 0.437) did not change over time. Stump pain was present in 28/39 and 22/40 of the participants at 6-and 12-month follow-up, respectively. The major adverse events were managed successfully and included three dual-cone breakages and four bone fractures. An uneventful course was completed by 19/31 transfemoral and 4/9 transtibial bone-anchored prostheses users.CONCLUSION:
Bone-anchored prostheses lead to improved performance and appear to be safe, so they might be considered for persons with socket-related problems.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Miembros Artificiales
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Rendimiento Físico Funcional
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Prótesis Anclada al Hueso
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Amputados
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2019
Tipo del documento:
Article
País de afiliación:
Países Bajos