| Popis: |
Background: The population of amputees in India is increasing day by day, but the existing technology does not permit to provide artificial limb to all in the right time and remote place. Although different types of fabrication procedures are available, still amputee spends significant time and effort to get prosthesis for regaining their lost walking proficiency. To overcome these problems, we have devised a new technique through which quick fabrication of desired prosthesis can be made with low cost, that too in remote areas and could be fabricated and delivered same day. Materials and Methods: The quick fabrication socket is a nonmodified prosthetic socket which can be made directly on the amputee stump using a composite material (fiberglass bandage) without taking a negative plaster cast. Quick fabrication socket, after fitted with modular TTP component has been evaluated by subjective (patient's satisfaction) and objective (kinematic gait analysis) method and also by economical and other factors. Results: We have taken 15 transtibial amputees to study the clinical effect of quick fabricated socket and compared with previous patellar tendon bearing socket. In subjective (patient's satisfaction) observation, the overall satisfaction level was found to be almost same in the majority of the subjects (12 subjects). In objective observation of kinematic gait analysis, all the gait parameters were found to be almost similar except the gait symmetry, which was found to be better in nonmodified socket. The quick fabricated nonmodified (QFNM) prosthesis was found to be prepared in less time, less delivery time (the same day) less costly and good cosmetic appearance. Conclusion: The QFNM socket prosthesis was found to be an alternative cost-effective method to provide prosthesis in less time, less tools, less manpower that too in a remote area without electricity. However its efficacy, durability and cosmetic aspects need further improvement. |
