From 1977 through 1980, 251 veterans from the San Francisco Bay Area received permanent lower-extremity prostheses at the two local Veterans Administration hospitals. For a survey, 213 of the 251 were contacted and 179 of them (84%) responded to written or telephone questionnaires concerning their prosthetic problems and complaints and their recommendations regarding prosthetic care. Seventy-fo...

The management of the individual with a trans-tibial amputation has been strongly influence by the increasing use of the ICEROSS socket system over recent years. Despite this growth in clinical experience, there has been very little research into its place in current prosthetic practice, and prescribing activity is largely determined by personal experience. In order to formulate the current con...

This research aims to determine the effect of dip coating process parameter, which are the concentration of the suspension, withdrawal speed and sintering temperature on the crystallinity, surface morphology, shear strength and the thickness of hydroxyapatite (HA) coating on cobalt alloys substrate as a prosthetic bone implant material candidate. The coating is done at 3 different concentration...

This paper reports a study of 66 upper limb amputees in County Funen, Denmark who were visited in their homes by the author. The purpose of the study was to evaluate the consumer concerns about their prostheses and to see if these were related to cessation of prosthetic use. It was also intended to estimate functional levels of both prosthetic users and non-users. The number of amputees investi...

We evaluated the effects of a serum protein coating on prosthetic infection in 29 adult male rabbits divided into three groups: control, albumin-coated and uncoated. We used 34 grit-blasted, commercially pure titanium implants. Eleven were coated with cross-linked albumin. All the implants were exposed to a suspension of Staphylococcus epidermidis before implantation. Our findings showed that a...

For this randomized crossover trial, we compared two common transtibial socket suspension systems: the Alpha liner with distal locking pin and the Pe-Lite liner with neoprene suspension sleeve. Our original hypotheses asserted that increased ambulatory activity, wear time, comfort, and satisfaction would be found with the elastomeric suspension system. Thirteen subjects completed the study. Fol...

PURPOSE Complete fibula absence often presents with significant lower-limb deformity. Parental counselling regarding management is paramount in achieving the optimum functional outcome. Amputation offers a single surgical event with minimal complications. This study compares outcomes with an amputation protocol to those using an extension prosthesis. METHOD Thirty-two patients were identified...

PURPOSE This study aimed to compare the effect of satisfaction and perceived problems between Pelite, Dermo with shuttle lock, and Seal-In X5 liners on the transtibial amputees. MATERIAL AND METHODS A total of thirty transtibial amputees (17 male, 13 female) volunteered to take part in this research. Two prostheses were fabricated for each participant. Prosthetic Evaluation Questionnaire (PEQ...

Heterotopic ossification (HO) is excess bone growth in soft tissues that frequently occurs in the residual limbs of combat amputees injured in Operation Iraqi Freedom and Operation Enduring Freedom, or Iraq and Afghanistan wars, respectively. HO can interfere with prosthetic use and walking and delay patient rehabilitation. This article describes symptomatic and/or radiographic evidence of HO i...

BACKGROUND Good suspension lessens the pistoning (vertical displacement) of the residual limb inside the prosthetic socket. Several methods are used for measuring the pistoning. STUDY DESIGN Clinical trial. OBJECTIVES To introduce and evaluate a new simple method for measuring the pistoning between the soft liner and socket in transtibial prostheses. METHODS Five transtibial prostheses wi...