scholarly journals Why transfemoral amputation instead of knee disarticulation?

Ankara Sa ◽  
2018 ◽  
Vol 17 (1) ◽  
pp. 21-24
Author(s):  
ALSANCAK Serap; GÜNER
Keyword(s):  
Transfemoral Amputation ◽  
Knee Disarticulation

The influence of continuous local wound infusion on postoperative pain in patients undergoing transfemoral amputation

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 381-386 ◽  
Author(s):  
Christian Uhl ◽  
Thomas Betz ◽  
Andrea Rupp ◽  
Markus Steinbauer ◽  
Ingolf Töpel
Keyword(s):  
Pain Management ◽  
Pilot Study ◽  
Local Anaesthetic ◽  
Phantom Pain ◽  
Transfemoral Amputation ◽  
Postoperative Wound ◽  
Stump Pain ◽  
Management Protocol ◽  
Group 2 ◽  
Group 1

Abstract. Summary: Background: This pilot study was set up to examine the effects of a continuous postoperative wound infusion system with a local anaesthetic on perioperative pain and the consumption of analgesics. Patients and methods: We included 42 patients in this prospective observational pilot study. Patients were divided into two groups. One group was treated in accordance with the WHO standard pain management protocol and in addition to that received a continuous local wound infusion treatment (Group 1). Group 2 was treated with analgesics in accordance with the WHO standard pain management protocol, exclusively. Results: The study demonstrated a significantly reduced postoperative VAS score for stump pain in Group 1 for the first 5 days. Furthermore, the intake of opiates was significantly reduced in Group 1 (day 1, Group 1: 42.1 vs. Group 2: 73.5, p = 0.010; day 2, Group 1: 27.7 vs. Group 2: 52.5, p = 0.012; day 3, Group 1: 23.9 vs. Group 2: 53.5, p = 0.002; day 4, Group 1: 15.7 vs. Group 2: 48.3, p = 0.003; day 5, Group 1 13.3 vs. Group 2: 49.9, p = 0.001). There were no significant differences between the two groups, neither in phantom pain intensity at discharge nor postoperative complications and death. Conclusions: Continuous postoperative wound infusion with a local anaesthetic in combination with a standard pain management protocol can reduce both stump pain and opiate intake in patients who have undergone transfemoral amputation. Phantom pain was not significantly affected.

scholarly journals Functional Outcomes of Service Members With Bilateral Transfemoral and Knee Disarticulation Amputations Resulting From Trauma

2016 ◽  
Vol 181 (S4) ◽  
pp. 55-60
Author(s):  
Barri L. Schnall ◽  
Yin-Ting Chen ◽  
Elizabeth M. Bell ◽  
Erik J. Wolf ◽  
Jason M. Wilken
Keyword(s):  
Functional Outcomes ◽  
Service Members ◽  
Knee Disarticulation

scholarly journals Is standing postural control more impaired in young patients with hip-disarticulation than transfemoral amputation? A pilot study

2015 ◽  
Vol 58 (6) ◽  
pp. 354-356
Author(s):  
Bastien Moineau ◽  
Matthieu P. Boisgontier ◽  
Elodie Gailledrat ◽  
Marie-Pierre De Angelis ◽  
Isabelle Olivier ◽  
...  
Keyword(s):  
Pilot Study ◽  
Postural Control ◽  
Young Patients ◽  
Transfemoral Amputation

scholarly journals Relationship between Asymmetry of Gait and Muscle Torque in Patients after Unilateral Transfemoral Amputation

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Alicja Rutkowska-Kucharska ◽  
Mateusz Kowal ◽  
Sławomir Winiarski
Keyword(s):  
Hip Joint ◽  
Reaction Force ◽  
Transfemoral Amputation ◽  
Gait Symmetry ◽  
Symmetry Index ◽  
Muscle Torque ◽  
Effective Form ◽  
Gait Asymmetry ◽  
Torque Values ◽  
Therapy Programme

Many studies have shown that unilateral transfemoral amputation involves asymmetric gait. Transfemoral amputation leads to muscle atrophy in a tight stump resulting in asymmetry in muscle torque between the amputated and intact limb. This research is aimed at verifying if a relationship between torque values of hip joint flexors and extensors and gait asymmetry in patients with TFA exists. Fourteen adult subjects with unilateral TFA took part in the experiment. Gait symmetry was evaluated based on the ground reaction force (GRF). Measurements of muscle torque of hip flexors and extensors were taken with a Biodex System. All measurements were taken under isokinetic (60°/s and 120°/s) and isometric conditions. The symmetry index of vertical GRF components was from 7.5 to 11.5%, and anterio-posterior GRF from 6.2 to 9.3%. The symmetry index for muscle torque was from 24.3 to 44% for flexors, from 39 to 50.5% for extensors, and from 28.6 to 50% in the flexor/extensor ratio. Gait asymmetry correlated with muscle torque in hip joint extensors. Therapy which enhances muscle torque may be an effective form of patient therapy. The patient needs to undergo evaluation of their muscle strength and have the therapy programme adjusted to their level of muscle torque deficit.

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