This report describes the construction and evaluation of an ankle-foot prosthesis using human cadaveric bones as the endoskeleton inside a fiber-reinforced vulcanized rubber shell. Cadaveric bones and exhumed skeletal bones were used. Three designs were fabricated, subjected to radiographic evaluation, and underwent 4-week field trials of normal daily use by a unilateral below-knee amputee. The...

Peri- and sub-prosthetic fractures, or pathological fractures below an existing well-fixed femoral component, with or without an ipsilateral knee replacement, present a difficult surgical challenge. We describe a simple solution, in which a custom-made prosthesis with a cylindrical design is cemented proximally to the stem of an existing, well-fixed femoral component. This effectively treats th...

BACKGROUND The prosthesis of contemporary total knee arthroplasty (TKA) has been modified to provide a more familiar environment for higher flexion angle of the replaced knee. The design modifications continue based on evidence reported in the literature. However, whether these modifications of the prosthesis design lead to improvements in clinical results needs further investigation. We determ...

Aim: To assess domains of health-related quality life among patients undergoing major lower limb amputation secondary to peripheral arterial disease. Study design: Observational questionnaire-based study. Place and Duration: Data from 1st January 31 December 2020(collected September 2022 November 2022) was assessed out which ninety-one fulfilled the inclusion criteria. Methodology: Twenty-three...

The upper-middle tibia is the mult iple growth section of benign and malignant neoplasm, which is easy to result in bone defect after tumorectomy and it is a serious problem in orthopaedics. We reported a case about a huge benign or potential malignant tumor( giant cell tumor of bone) in upper-middle tibia and contrasted the advantage between the jade prosthesis and the allograft. Initially, th...

The patallar-tendon-bearing supracondy­ lar, suprapatellar air cushion (PTS-AC) below-knee (BK) prosthesis is a special modi­ fication of the supracondylar, suprapatellar suspension and the air cusion socket. The air cushion principle in combination with the patella tendon-bearing (PTB) prosthesis was introduced by Lyquist, Wilson, and Radcliffe (Fig. 1), (2) in 1965. It requires more accurate ...

Although skin necrosis following total knee arthroplasty or revision total knee arthroplasty is rare, it may cause severe complications. Skin changes begin with superficial infections and may result in removal of the prosthesis. Treatment of skin necrosis is an important factor, which determines the prognosis of the prosthesis. Several techniques have been defined for sufficient closure. In thi...

Joint replacement is the most effective healthcare measure in improving patient quality-of-life outcomes. More than 46000 hip and knee replacements were performed in Australia between July 2000 and July 2001. The need for joint replacements will increase as the population ages. More than 90% of hip and/or knee replacements survive for 10-15 years. Prosthesis selection needs to be tailored to ea...

Modular knee megaendoprotheses are commonly used devices for distal femur or proximal tibia replacement in tumor surgery as well as for treatment of some periprosthetic fractures around a loose or failed total knee arthroplasty. Structural failures of the prosthesis are well-known postoperative complications and have been reported for various prosthesis types. In the majority of the cases, the ...

This article concerns the design of lower limb prosthesis, both below and above knee. It describes a new computer-based design framework and a digital model of the patient around which the prosthesis is designed and tested in a completely virtual environment. The virtual model of the patient is the backbone of the whole system, and it is based on a biomechanical general-purpose model customized...