PLUS-M Mobility Values of Osseointegration Patients: How Do Osseointegration Limb Replacement Prosthesis Users Compare to Traditional Socket Amputee Prosthesis Users?
The primary aim of this study was to compare osseointegration limb replacement prosthesis users to normative published Prosthetic Limb Users Survey of Mobility (PLUS-M) values for traditional socket prosthesis users. The secondary aim was to investigate whether patient factors were predictive of PLU...
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| Vydáno v: | American journal of physical medicine & rehabilitation Ročník 104; číslo 8; s. 687 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.08.2025
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| ISSN: | 1537-7385, 1537-7385 |
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| Abstract | The primary aim of this study was to compare osseointegration limb replacement prosthesis users to normative published Prosthetic Limb Users Survey of Mobility (PLUS-M) values for traditional socket prosthesis users. The secondary aim was to investigate whether patient factors were predictive of PLUS-M scores.
Retrospective review of all patients who underwent osseointegration maintained in a prospectively maintained registry. All patients ( N = 63) were invited to complete a PLUS-M survey. Thirty patients completed the survey (15 femoral osseointegration, 15 tibial osseointegration).
The osseointegration limb replacement prosthesis users cohort's composite median scores and interquartile ranges for the PLUS-M Raw Score, PLUS-M T-score, and PLUS-M percentile score were 57 (46-60), T-score 62.5 (51.275-71.4), and 89.5 (54.95-98.4). PLUS-M T-scores were higher in the osseointegration limb replacement prosthesis users compared with the age and etiology matched literature-reported outcomes in traditional socket prosthesis users for above-knee ( P = 0.027) and below-knee ( P = 0.029) amputees. Tibial osseointegration scores were slightly higher than femur osseointegration scores but did not reach statistical significance. PLUS-M raw ( P = 0.047) and PLUS-M percentile scores ( P = 0.041) were significantly improved for younger patients at the time index amputation. Regression analysis supported this finding.
Osseointegration limb replacement prosthesis users demonstrate improved functional mobility outcome scores relative to traditional socket prosthesis users. PLUS-M functional scores were improved for younger patients at time of index amputation. |
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| AbstractList | The primary aim of this study was to compare osseointegration limb replacement prosthesis users to normative published Prosthetic Limb Users Survey of Mobility (PLUS-M) values for traditional socket prosthesis users. The secondary aim was to investigate whether patient factors were predictive of PLUS-M scores.
Retrospective review of all patients who underwent osseointegration maintained in a prospectively maintained registry. All patients ( N = 63) were invited to complete a PLUS-M survey. Thirty patients completed the survey (15 femoral osseointegration, 15 tibial osseointegration).
The osseointegration limb replacement prosthesis users cohort's composite median scores and interquartile ranges for the PLUS-M Raw Score, PLUS-M T-score, and PLUS-M percentile score were 57 (46-60), T-score 62.5 (51.275-71.4), and 89.5 (54.95-98.4). PLUS-M T-scores were higher in the osseointegration limb replacement prosthesis users compared with the age and etiology matched literature-reported outcomes in traditional socket prosthesis users for above-knee ( P = 0.027) and below-knee ( P = 0.029) amputees. Tibial osseointegration scores were slightly higher than femur osseointegration scores but did not reach statistical significance. PLUS-M raw ( P = 0.047) and PLUS-M percentile scores ( P = 0.041) were significantly improved for younger patients at the time index amputation. Regression analysis supported this finding.
Osseointegration limb replacement prosthesis users demonstrate improved functional mobility outcome scores relative to traditional socket prosthesis users. PLUS-M functional scores were improved for younger patients at time of index amputation. The primary aim of this study was to compare osseointegration limb replacement prosthesis users (OI-LRPU) to normative published PLUS-M values for traditional socket prosthesis users (TSPU). The secondary aim was to investigate whether patient factors were predictive of PLUS-M scores.OBJECTIVEThe primary aim of this study was to compare osseointegration limb replacement prosthesis users (OI-LRPU) to normative published PLUS-M values for traditional socket prosthesis users (TSPU). The secondary aim was to investigate whether patient factors were predictive of PLUS-M scores.Retrospective review of all patients who underwent OI maintained in a prospectively maintained registry. All patients (N = 63) were invited to complete a PLUS-M survey. 30 patients completed the survey (15 femoral OI, 15 tibial OI).DESIGNRetrospective review of all patients who underwent OI maintained in a prospectively maintained registry. All patients (N = 63) were invited to complete a PLUS-M survey. 30 patients completed the survey (15 femoral OI, 15 tibial OI).The OI-LRPU cohort's composite median scores and inter-quartile ranges for the PLUS-M Raw Score, PLUS-M T-score, and PLUS-M percentile score were 57 (46-60), T-score 62.5 (51.275 - 71.4) and 89.5 (54.95 - 98.4). PLUS-M T-scores were higher in the OI-LRPU compared with the age and etiology matched literature-reported outcomes in TSPU for above-knee (p = 0.027) and below-knee (p = 0.029) amputees. Tibial OI scores were slightly higher than femur OI scores but did not reach statistical significance. PLUS-M raw (p = 0.047) and PLUS-M percentile scores (p = 0.041) were significantly improved for younger patients at the time index amputation. Regression analysis supported this finding.RESULTSThe OI-LRPU cohort's composite median scores and inter-quartile ranges for the PLUS-M Raw Score, PLUS-M T-score, and PLUS-M percentile score were 57 (46-60), T-score 62.5 (51.275 - 71.4) and 89.5 (54.95 - 98.4). PLUS-M T-scores were higher in the OI-LRPU compared with the age and etiology matched literature-reported outcomes in TSPU for above-knee (p = 0.027) and below-knee (p = 0.029) amputees. Tibial OI scores were slightly higher than femur OI scores but did not reach statistical significance. PLUS-M raw (p = 0.047) and PLUS-M percentile scores (p = 0.041) were significantly improved for younger patients at the time index amputation. Regression analysis supported this finding.OI-LRPU demonstrate improved functional mobility outcome scores relative to TSPU. PLUS-M functional scores were improved for younger patients at time of index amputation.CONCLUSIONSOI-LRPU demonstrate improved functional mobility outcome scores relative to TSPU. PLUS-M functional scores were improved for younger patients at time of index amputation. |
| Author | Rozbruch, S Robert Page, Brian Joseph Sheridan, Gerard A Reif, Taylor J Hoellwarth, Jason S Greenstein, Michael D |
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| Keywords | Osseointegration Osseointegration Limb Replacement Surgery Osseointegration Limb Replacement Prosthesis Users Traditional Socket Prosthesis User |
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| Snippet | The primary aim of this study was to compare osseointegration limb replacement prosthesis users to normative published Prosthetic Limb Users Survey of Mobility... The primary aim of this study was to compare osseointegration limb replacement prosthesis users (OI-LRPU) to normative published PLUS-M values for traditional... |
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| SubjectTerms | Adult Aged Amputation, Surgical - rehabilitation Amputees - rehabilitation Artificial Limbs Female Humans Male Middle Aged Osseointegration - physiology Prosthesis Design Retrospective Studies Tibia |
| Title | PLUS-M Mobility Values of Osseointegration Patients: How Do Osseointegration Limb Replacement Prosthesis Users Compare to Traditional Socket Amputee Prosthesis Users? |
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