Hip disarticulation and hemipelvectomy prostheses: A review of the literature.

Autor:	Gholizadeh H; Ottawa Hospital Research Institute, Centre for Rehabilitation Research and Development, Ottawa, Canada., Baddour N; Faculty of Engineering, Department of Mechanical Engineering, University of Ottawa, Ottawa, Canada., Botros M; Faculty of Engineering, Department of Mechanical Engineering, University of Ottawa, Ottawa, Canada., Brannen K; Faculty of Engineering, Department of Mechanical Engineering, University of Ottawa, Ottawa, Canada., Golshan F; Faculty of Engineering, Department of Mechanical Engineering, University of Ottawa, Ottawa, Canada., Lemaire ED; Ottawa Hospital Research Institute, Centre for Rehabilitation Research and Development, Ottawa, Canada.; Faculty of Medicine, University of Ottawa, Canada.
Jazyk:	angličtina
Zdroj:	Prosthetics and orthotics international [Prosthet Orthot Int] 2021 Oct 01; Vol. 45 (5), pp. 434-439.
DOI:	10.1097/PXR.0000000000000029
Abstrakt:	Background: Although the global population of people with a hip disarticulation (HD) or hemipelvectomy (HP) amputation is small, the degree of disability is high, affecting function and independence. A comprehensive literature review is needed to examine the evidence for prostheses in these amputation levels. Method: A scoping literature review was conducted to examine related research documents from 1950 to September 2020, found using Scopus, Web of Science, PubMed, and Google Scholar databases. Studies evaluated (retrospectively or prospectively) HD or HP prostheses and were written in English. Study design and protocol, research instrument, sample size, and outcome measures were reviewed. Results: In the past 70 years, 53 articles that evaluated HD or HP prostheses were published. Most research was conducted in the United States (24 articles) and Japan (nine articles). In 42 articles, authors prospectively evaluated the effects of prostheses in these amputation levels. On average, prospective studies had four (SD = 5) participants. Since 1950, only five prospective studies evaluated HD or HP prostheses with 10 or more participants. Moreover, sufficient information was often unavailable for research replication. Conclusion: More evidence is needed regarding the effects of HD or HP prosthetic components (i.e. hip, knee, ankle, socket type, and suspension system) on gait, patient satisfaction, prosthetic use, interface pressure, and energy expenditure. Articles mostly have small sample sizes that reduce confidence in the reliability of their findings and limit generalizability. Future investigations are needed with vigorous methodology and larger sample sizes to provide strong statistical conclusions. (Copyright © 2021 International Society for Prosthetics and Orthotics.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu