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Titre : | Outcome of Percutaneous Osseointegrated Prostheses for Patients With Unilateral Transfemoral Amputation at Two-Year Follow-Up (2014) |
Auteurs : | Kerstin Hagberg ; Elisabeth Hansson ; Rickard Brånemark |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/11, 2014) |
Article en page(s) : | p. 2120-2127 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Artificial limbs ; Membres artificiels ; Osseointegration ; Ostéo-intégration ; Quality of life |
Résumé : |
Objective To report outcomes regarding general and specific physical health-related quality of life of treatment with percutaneous osseointegrated prostheses. Design Prospective 2-year case-control study. Setting University hospital. Participants Individuals (N=39; mean age, 44+12.4y) with unilateral transfemoral amputation as a result of trauma (n=23), tumor (n=11), or other cause (n=5). At baseline, 33 of the 39 participants used socket-suspended prostheses. Intervention Osseointegrated prosthesis. Main Outcome Measures Questionnaire for Persons with Transfemoral Amputation (Q-TFA), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) physical functioning (PF) and physical component summary (PCS), SF-6D, and Physiological Cost Index (PCI). Results At 2 years postimplantation, 6 of 7 Q-TFA scores improved (P<.0001 compared with baseline use mobility problem global capability walking habits the aid subscore did not improve of participants increased prosthesis was reported by same amount and less improvement in separate items unchanged included problems regarding phantom limb pain from back shoulders contralateral limb. pf pcs sf-6d improved a mean .039 points respectively. energy cost decreased pci at .749 follow-up .61 p> Conclusions Two years after intervention, patients with a unilateral TFA treated with an OPRA implant showed important improvements in prosthetic function and physical quality of life. However, walking aids used and the presence of phantom limb pain and pain in other extremities were unchanged. This information is valuable when considering whether percutaneous osseointegrated prostheses are a relevant treatment option. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314005036 |