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Prosthetics for Lower Limb Amputation;
The bionic leg is the result of a seven-year research effort at the , directed by , the H. Fort Flowers Professor of Mechanical Engineering. The project was initially funded by a seed grant from the , followed by a development grant from the. Key aspects of the design have been patented by the university, which has granted exclusive rights to develop the prosthesis to , a leading developer and manufacturer of lower limb prosthetic devices.
This study is part of a larger multisite prospective cohort study of individuals who underwent major lower-limb amputation because of vascular disease and/or diabetes. Subjects were recruited from two Department of Veterans Affairs (VA) medical centers, a university hospital, and a level I trauma center between September 2005 and December 2008. Study subjects were assessed via in-person or telephone interview at four time points: before amputation surgery (if available) and 6 wk, 4 mo, and 12 mo after amputation surgery. Subjects who were not able to be assessed prior to their amputation surgery were enrolled and assessed 6 wk after amputation. In addition to the in-person or telephone interview, data were also collected via systematic review of the medical record. All assessments and medical record reviews were performed by a trained study coordinator designated for each site.
Harmony below-knee vacuum prosthesis
Pain in the residual limb and phantom-limb pain were measured at 4 and 12 mo after amputation using the following two questions: (1) "Do you currently experience pain in your residual limb or stump (amputated leg)?" (2) "Do you currently experience pain where your leg was (phantom-limb pain)?" To determine healing, the subject was asked at his or her 4 and 12 mo follow-up appointment, "Has your surgical wound healed?" The only responses allowed were "yes" or "no." If there was any doubt, the wound was considered not healed.
At the McCleve Prosthetic Center, we will help match you with an that your comfortable with. Our patients range in age from young to old and many are trained as Peer Mentors to help you get comfortable with your prosthesis and new way of life. Whether you have lost both of your legs or one arm, we have an amputee peer mentor that can relate to you and discuss what it’s like to experience a below knee amputation, from first-hand knowledge. The sooner you talk to another amputee, the sooner you’ll start to understand that you can still achieve all your hopes and dreams. Common questions and the main reasons amputees seek us out:
An above-knee amputation (AKA) is one where the leg is amputated ..
Prosthetic fitting, use, function, and satisfaction are important rehabilitation goals following lower-limb amputation. This study prospectively examined these outcomes in a cohort of individuals who underwent lower-limb amputation secondary to peripheral vascular disease and/or diabetes. A wide range of demographic, psychosocial, and comorbid medical data were evaluated at baseline in the perioperative period, which enabled an assessment of possible contributing factors and their effect on these outcomes. This cohort of subjects was then followed for a year following amputation by utilizing a wide spectrum of objective and validated self-report outcome measures. These study design characteristics make this investigation unique compared to prior studies examining similar outcomes following dysvascular lower-limb amputation [1–11].
At McCleve O&P, we believe in a team approach to your below knee amputation and prosthetic care. We team with doctors, wound clinics, and rehabilitation centers across the state and country to assure you receive the very best care possible. Losing a limb is a traumatic experience and will require focus and teamwork to help you regain the mobility and quality of life you deserve.
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The recovery of a lower leg amputation
Providing a satisfactory, functional prosthesis following lower-limb amputation is a primary goal of rehabilitation. The objectives of this study were to describe the rate of successful prosthetic fitting over a 12 mo period; describe prosthetic use after amputation; and determine factors associated with greater prosthetic fitting, function, and satisfaction. The study design was a multicenter prospective cohort study of individuals undergoing their first major lower-limb amputation because of vascular disease and/or diabetes. At 4 mo, unsuccessful prosthetic fitting was significantly associated with depression, prior arterial reconstruction, diabetes, and pain in the residual limb. At 12 mo, 92% of all subjects were fit with a prosthetic limb and individuals with transfemoral amputation were significantly less likely to have a prosthesis fit. Age older than 55 yr, diagnosis of a major depressive episode, and history of renal dialysis were associated with fewer hours of prosthetic walking. Subjects who were older, had experienced a major depressive episode, and/or were diagnosed with chronic obstructive pulmonary disease had greater functional restriction. Thus, while most individuals achieve successful prosthetic fitting by 1 yr following a first major nontraumatic lower-limb amputation, a number of medical variables and psychosocial factors are associated with prosthetic fitting, utilization, and function.
Lower Limb Amputation | Amputation | Prosthesis
The study population included in this investigation is important for a number of reasons. First, only individuals with amputations secondary to peripheral vascular disease and/or diabetes were included, in contrast to several published studies that studied samples of mixed etiologies. Additionally, 31 percent of the present sample had TM-level amputations. Previous investigations have focused to a greater extent on dysvascular subject populations, which were predominantly TT and TF amputees, and their relative frequencies differed from this investigation. Historical Medicare data from 1996 reveal a lower prevalence of TM amputation and a much higher percentage of amputations at the TF level . This may reflect a more recent trend where revascularization procedures are performed with the goal of salvaging a more distal amputation level [30–31]. The baseline demographic, psychosocial, and comorbid medical characteristics of the amputee populations at each major amputation level were very similar (). The only exceptions were a significantly higher rate of diabetes with the TM amputation and a significantly higher rate of smoking in the TF population. Lastly, the subjects included in this investigation were undergoing their first major-limb amputation, had at least minimal ambulatory function, and had adequate cognitive function to participate in the data collection process. Using a comparatively healthy sample of amputees at baseline created an opportunity to understand prosthetic fitting, use, satisfaction, and function among a sample of individuals who were optimal candidates for prostheses. This allowed us to examine some of the less well-studied biopsychosocial influences that affect prosthesis use above and beyond the more traditional physical factors.
Above-Knee Amputation - MoveForward
Michael Simonetti, born in USA, in 1962, is a military veteran and a San Diego State University (SDSU) student who invented the Shower-Safe Base, a device designed to help amputees and people with physical disabilities to take a shower. Michael was inspired by his friend and fellow military friend, Frank Jones, 45, who had a right lower-leg amputation, and told him the worst part about his day is bathing.
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