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Timely and comprehensive assessment of indications and contraindications for prosthetics of patients with a faulty amputation stump has proven to increase the prosthetics efficiency based on adequate approaches to treatment by selecting the correct timing of prosthetics and taking into account the general condition of the patient. Timely elimination of existing defects in the amputation stump with the help of surgical and complex physiotherapeutic procedures, as well as early prosthetics, enables patients with amputation stumps to quickly adapt to the prosthesis. The proposed Prosthetics Efficiency Evaluation Program (PEEP), developed by the authors, allows assessing the degree of prosthetics efficiency and complex rehabilitation of a patient objectively and reliably.

This paper is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the femoral stump. The observations were carried out from 1 month to 6 months after surgery in the period from 2014 to 2019 in the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. The results of the complex studies are presented: clinical (orthopedic, neurological), psychological, radiological, ultrasound studies, and Doppler sonography.

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