全骨盆切除后胸廓承重接受腔和交互步态行走假肢适配1例报道

doi:10.3969/j.issn.1006-9771.2021.07.020

Abstract

Abstract:

Objective To design, fit and use a thoracic-weight-bearing socket and reciprocating gait prosthesis for amputee pelvis disarticulation.

Methods A case after pelvis disarticulation amputation was reported. The main weight of the socket bore on lower thorax, and the socket suspended with the pressure from anterior-posterior sides. Walking prosthesis was consisted of the socket, reciprocating hip joint, prosthetic knee joint and SACH foot. The prosthesis was adjusted alignment, and the patient was trained to walk with the prosthesis.

Results The patient could stand for four hours a time with the socket, and walk 200 meters in 30 minutes assisted with axillary crutches. The score of modified Barthel Index improved from 41.5 admitted to hospital to 93 (with socket) or 83 (with prosthesis) as discharged.

Conclusion Pelvis disarticulation amputees could stand up with socket with reasonable weight bearing and suspension and walk in reciprocating gait with reasonable components and joints, right alignment and gait training, to improve activities of daily living.

Key words: translumbar amputation, pelvis disarticulation, prosthesis, reciprocating gait, socket

CLC Number:

R496

YANG Ping,CAI Li-fei,CAO Xue-jun. Thoracic-weight-bearing Socket and Reciprocating Gait Prosthesis for Pelvis Disarticulation Amputee: A Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 859-863.

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[1]	CRUM R W, LEE E S, PATTERSON F R, et al. Back-to-front hemicorporectomy with double-barreled wet colostomy for treatment of squamous cell carcinoma of a pressure ulcer[J]. Am Surg, 2015, 81(12):E400-E402.
[2]	WARR S P, JARAMILLO P M, FRANCO S T, et al. Hemicorporectomy as a life-saving strategy for severe pelvic ring crush injury: a case report[J]. Eur J Orthop Surg Traumatol, 2018, 28(4):735-739. doi: 10.1007/s00590-018-2140-z
[3]	THAKUR A, ELLIOTT B, NAIK R, et al. Recurrent hospitalisations in a rare case of hemicorporectomy: a challenging case for medical management[J]. BMJ Case Rep, 2018, 2018: bcr2017222375.
[4]	MOTLOCH W. Principles of orthotic management for child and adult paraplegia and clinical experience with the isocentric RGO[C]. Copenhagen: Proceedings of the 7th World Congress of the International Society for Prosthetics and Orthotics, 1992.
[5]	ARAZPOUR M, SOLEIMANI F, SAJEDI F, et al. Effect of orthotic gait training with isocentric reciprocating gait orthosis on walking in children with myelomeningocele[J]. Top Spinal Cord Inj Rehabil, 2017, 23(2):147-154. doi: 10.1310/sci2302-147
[6]	DOUGLAS R, LARSON P F, D′AMBROSIA R, et al. The LSU reciprocating gait orthosis[J]. Orthopedics, 1983, 6(7):834-839. doi: 10.3928/0147-7447-19830701-05
[7]	杨平, 曹学军, 田罡, 等. 外伤致全骨盆切除者的综合康复1例[J]. 中国康复理论与实践, 2008, 14(5):480-483.
	YANG P, CAO X J, TIAN G, et al. Rehabilitation of hemicorporectomy amputee: a case report[J]. Chin J Rehabil Theory Pract, 2008, 14(5):480-483.
[8]	杨平, 蔡丽飞, 马鑫鑫, 等. 全骨盆切除者使用不同代步工具的能量消耗[J]. 中国康复理论与实践, 2014, 20(12):1192-1193.
	YANG P, CAI L F, MA X X, et al. Comparion of energy expenditure of a hemicorporectomy amputee with different mobility devices[J]. Chin J Rehabil Theory Pract, 2014, 20(12):1192-1193.
[9]	杨平, 曹学军. 经腰椎离断术后的康复[J]. 中国康复理论与实践, 2011, 17(1):45-47.
	YANG P, CAO X J. Rehabilitation for translumbar amputation (review)[J]. Chin J Rehabil Theory Pract, 2011, 17(1):45-47.
[10]	CAVALHEIRO D P, MARTEN TEIXEIRA J E, BRAGA D M, et al. Rehabilitation management of hemicorporectomy[J]. PM R, 2015, 7(7):777-780. doi: 10.1016/j.pmrj.2015.03.012
[11]	SMITH J, TUEL S M, MEYTHALER J M, et al. Prosthetic management of hemicorporectomy patients: new approaches[J]. Arch Phys Med Rehabil, 1992, 73(5):493-497.
[12]	CARLSON M J, WOOD S L. A flexible, air-permeable socket prosjournal for bilateral hip disarticulation and hemicorporectomy amputees[J]. J Prosthet Orthot, 1998, 10(4):110-115. doi: 10.1097/00008526-199801040-00007
[13]	WILSON J D. A new concept in prosthetic interface design for hemicorporectomy amputees utilizing ROHO compression therapy: a case study from a CPO's perspective[J]. J Prosthet Orthot, 2004, 16(4):104-112. doi: 10.1097/00008526-200410000-00003
[14]	GRUMAN G, MICHAEL J W. Translumbar amputation: prosthetic management[M]// SMITH D G, MICHAEL J W, BOWKER J H. Atlas of Amputations and Limb Deficiencies: Surgical, Prosthetic, and Rehabilitation Principles. 3rd ed. Rosemont, IL: American Academy of Orthopaedic Surgeons, 2004: 583-588.
[15]	SIMONS B C, LEHMAN J F, TAYLOR N, et al. Prosthetic management of hemicorporectomy[J]. Orthot Prosthet, 1968, 22(6):63-68.

Thoracic-weight-bearing Socket and Reciprocating Gait Prosthesis for Pelvis Disarticulation Amputee: A Case Report

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