Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses

To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residu...

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Bibliographic Details
Published in:Archives of physical medicine and rehabilitation Vol. 94; no. 11; p. 2174
Main Authors: Van de Meent, Hendrik, Hopman, Maria T, Frölke, Jan Paul
Format: Journal Article
Language:English
Published: United States 01.11.2013
Subjects:
Adult
Aged
Amputation
Amputees - rehabilitation
Artificial Limbs
Case-Control Studies
Female
Femur - surgery
Humans
Male
Middle Aged
Osseointegration
Oxygen Consumption
Prospective Studies
Prosthesis Design
Quality of Life
Walking
Young Adult
preferred walking speed
Osseointegration
Timed Up & Go
Prosthesis
TUG
Medical Outcomes Study 36-Item Short-Form Health Survey
6MWT
PWS
osseointegration prosthesis
Quality of life
SF-36
6-minute walk test
Function
Osseointegrated Prosthesis for the Rehabilitation of Amputees
OPRA
Amputation
OIP
Q-TFA
Questionnaire for Persons With a Transfemoral Amputation
Rehabilitation
ISSN:1532-821X, 1532-821X
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Summary:To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23-67y) and mean time since amputation was 16.4 years (range, 2-45y). Causes of amputation were trauma (n=20) and tumor (n=2). Implantation of an osseointegration prosthesis (OIP). Global score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking. With the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively. Osseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.
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ISSN:1532-821X
1532-821X
DOI:10.1016/j.apmr.2013.05.020