Primary prosthetics as a medical and technical rehabilitation of disabled people with amputation stumps of the lower extremities

Abstract

Primary prosthetics was performed in 320 patients ( aged 1678 years) with lower limb stumps at different level. The amputation was carried out due vascular pathology of various genesis (70% of cases), injury (25%)), frostbite sequelae, oncologic lesions and chronic osteomyelitis (5%). For the determination of the prosthesis use regimen complex examination including functional diagnosis methods was performed to all patients. Taking into account the individual peculiarities of stump and presence of concomitant pathology the primary-permanent prosthesis was made. Prosthetics results were evaluated 26 months after stump tissue atrophy development. Good results were achieved in 152 patients (67.9%)), satisfactory in 48 (21.4%)) and unsatisfactory in 24 (10.7%)) out of 224 rehospitalized patients.