ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The aim orthotic management for the paraplegic child should be to facilitate and encourage mobility while simultaneously attempting to prevent the progression of deformity. The extent of the paralysis and corresponding deformity is known to depend on the location of the spinal lesion, its severity, and its extent. When considering the orthotic management of the paraplegic child, one should remember that any conceptual distinction that is made between the improvement of function and the prevention of deformity is artificial because both functional and preventative purposes are required simultaneously. Four clinical examples are presented that outline the progression of significant skeletal deformity and joint contracture despite the provision of orthotic management and the adoption of a reciprocal gait pattern. The inability of a particular orthosis to control the rapid progression of deformity is supported by radiographic findings and appropriate clinical review.

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Prosthetists have successfully been using specific-area weight-bearing design in prostheses. Hydrostatic design incorporates sound fluid mechanics principles in conjunction with superior material technology. In this 25-patient study, conventional and hydrostatic transtibial interface designs were compared. The preferred design and reasons for patient preference were determined.

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Nineteen highly active adolescent and teenage unilateral transtibial (TT) and syme (S) amputees were randomly selected for conversion to a prosthesis that incorporated a unique articulated foot design. The patients were analyzed early at the six-month conversion interval, and late at an average long-term followup of three years and five months. The modular, articulated foot, known as the “College Park Tru-Step,” allowed for subtalar, ankle, and forefoot motion. All patients were carefidly evaluated in a clinical setting; 16 (84%) completed questionnaires and returned for long-term follow-up (mean 3.4 years). All patients were active users of other varieties of dynamic response feet. In the early analysis period, 14 patients (87%) preferred this foot to their previous fitting, with seven patients (44%) rating it “much better.“ Two patients rejected the design early, and three additional patients rejected the design during long-term follow-up. The long-term success rate in 11 patients (69%) in the follow-up group was encouraging. Failure of component parts in the design was a particularly vexing problem for the prosthetic team, and is described. Modern lower extremity prosthetic design is also discussed.

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As the outcomes of orthotic treatments are increasingly scrutinized, practitioners are seeking to gain an understanding of the effects of variable patient adherence. Several groups have developed electronic adherence monitors for orthoses, but these have not achieved widespread use. By making the development and use of reliable adherence monitors for orthoses a high priority, orthotists may soon be able to document the effectiveness of orthotic treatments.

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The Orthotics and Prosthetics National Office Outcomes Tool (OPOT) was developed to assess health status, client satisfaction, and prosthetist's perception of function for clients with lower extremity prosthetic needs. The data set comprised 840 adults requiring lower extremity prostheses, as seen in 56 practices by 278 prosthetists from 25 states. Clients completed standardized health status and satisfaction questions and prosthetists completed questions pertaining to client demographics and functional abilities at the initial fitting and at the eight-week follow-up. Data support the reliability and construct validity of the OPOT for clients with lower extremity prosthetic needs.

ISSN:1040-8800    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The syndrome of diminished femoral antetorsion, evaluated in 111 joints of 59 children and adults, is described. Internal rotation of the femur was significantly decreased, and external rotation was increased. Femoral antetorsion was diminished in biplane radiographs to an 8.5° mean value [1.0° in computed tomography (CT) scans]. Antetorsion values are higher in children, even in this syndrome. Pain was mainly experienced between the ages of 12 and 30 years. Ten patients had signs of beginning osteoarthritis. Rotational osteotomies performed to increase antetorsion were successful.

ISSN:1040-8800    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The effectiveness of psoas and adductor tenotomies for the prevention of hip dislocation was investigated in 40 hips of 24 total-body-involved children. Age at operation ranged from 1.6 to 10 years. Results were evaluated by the Reimers migration percentage (MP). Average follow-up was 3 years. An overall good result was observed in 67% of cases. Results were correlated with age and MP at operation. Successful results were obtained in 90% of patients under age 4 who had an MP <33%. Preventive surgery should be performed at 2 or 3 years of age, before the onset of hip dysplasia.

ISSN:1040-8800    

出版商:OVID    

年代:1991

数据来源: OVID