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Transcutaneous bone-anchoring prosthesis with knee replacement: A novel treatment for amputees [Conference Abstract]

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      SAGE Publications Inc.
    • الموضوع:
      2015
    • Collection:
      Queensland University of Technology: QUT ePrints
    • نبذة مختصرة :
      Background Over the last two decades, Transcutaneous Bone-Anchored Prosthesis (TCBAP) has proven to be an effective alternative for prosthetic attachment for amputees, particularly for individuals unable to wear a socket. [1-17] However, the load transmitted through a typical TCBAP to the residual tibia and knee joint can be unbearable for transtibial amputees with knee arthritis. Aim A. To describe the surgical procedure combining TKR with TCBAP for the first time; and B. To present preliminary data on potential risks and benefits with assessment of clinical and functional outcomes at follow up Method We used a TCBAP connected to the tibial base plate of a Total Knee Replacement (TKR) prosthesis enabling the tibial residuum and the knee joint to act as weight sharing structures by transferring the load directly to the femur. We performed a standard hinged TKR connected to a custom made TCBAP at the first stage followed by creating a skin implant interface as a second stage. We retrospectively reviewed four cases of trans-tibial amputations presenting with knee joint arthritis. Patients were assessed clinically and functionally including standard measures of health-related quality of life, amputee mobility predictor tool, ambulation tests and actual activity level. Progress was monitored for 6-24 months. Results Clinical outcomes including adverse events show no major complications but one case of superficial infection. Functional outcomes improved for all participants as early as 6 months follow up. Discussion & Conclusion TKR and TCBAP were combined for the first time in this proof-of-concept case series. The preliminary outcomes indicated that this procedure is potentially a safe and effective alternative for this patient group despite the theoretical increase in risk of ascending infection through the skin-implant interface to the external environment. We suggest larger comparative series to further validate these results.
    • File Description:
      application/pdf
    • Relation:
      https://eprints.qut.edu.au/89031/1/Abs-ISPO%20Lyon-AK-OPL%20and%20TKR-ePrint%2001.pdf; Khemka, Aditya, Frossard, Laurent, Lord, Sarah, Bosley, Belinda, & Al Muderis, Munjed (2015) Transcutaneous bone-anchoring prosthesis with knee replacement: A novel treatment for amputees [Conference Abstract]. Prosthetics and Orthotics International, 39(S1), p. 461.; https://eprints.qut.edu.au/89031/; Faculty of Health; Institute of Health and Biomedical Innovation
    • Rights:
      free_to_read ; Consult author(s) regarding copyright matters ; This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au
    • الرقم المعرف:
      edsbas.56D79F55