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. 2016 Aug;44(4):957-67.
doi: 10.1177/0300060516647554. Epub 2016 May 25.

Results of prosthetic rehabilitation on managing transtibial vascular amputation with silicone liner after wound closure

Takaaki Chin  1 , Mitsunori Toda  2
Affiliations

Results of prosthetic rehabilitation on managing transtibial vascular amputation with silicone liner after wound closure

Takaaki Chin et al. J Int Med Res. 2016 Aug.

Abstract

Objective: To investigate the effect of a standardized silicone liner programme on the duration of prosthetic rehabilitation in patients who underwent transtibial amputation as a result of peripheral arterial disease.

Methods: This retrospective study enrolled patients who underwent transtibial amputation followed by one of two stump management programmes at the same rehabilitation centre over a period of 14 years. The study compared the duration of rehabilitation following a standardized silicone liner programme compared with that following a conventional soft dressing programme.

Results: This study included 16 patients who underwent the silicone liner programme and 11 patients who underwent the soft dressing programme. There were no significant differences between the two groups in age, sex, interval between amputation and admission to the rehabilitation centre and stump length. The duration required for the completion of the rehabilitation programme was significantly shorter for the silicone liner programme compared with the soft dressing programme (mean ± SD: 77.3 days ± 13.4 versus 125.4 days ± 66.4 days, respectively).

Conclusion: A standardized silicone liner programme reduced the duration of rehabilitation and could be a valuable replacement for soft dressing-based stump management.

Keywords: Prosthesis; amputation; peripheral arterial disease; rehabilitation; stump management; transtibial; vascular.

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Figures

Figure 1.
Figure 1.
Stump management using a standardized silicone liner programme following unilateral transtibial amputation in patients with peripheral arterial disease. The first stage after wound closure has been confirmed is to fit a silicone liner so that compression treatment of the stump can be initiated. The colour version of this figure is available at: http://imr.sagepub.com.
Figure 2.
Figure 2.
Stump management using a standardized silicone liner programme following unilateral transtibial amputation in patients with peripheral arterial disease. From the third week, a provisional prosthesis (cast socket and silicone liner) was made, and the patient stood in parallel bars on the same day. The colour version of this figure is available at: http://imr.sagepub.com.
Figure 3.
Figure 3.
Stump management using a standardized silicone liner programme following unilateral transtibial amputation in patients with peripheral arterial disease. From the seventh week, a thermoplastic socket was fitted and applied action walking training was undertaken. The colour version of this figure is available at: http://imr.sagepub.com.
Figure 4.
Figure 4.
Schematic presentation of the protocol used for stump management using a standardized silicone liner programme following unilateral transtibial amputation in patients with peripheral arterial disease. This programme consisted of an 8-week time-series framework that could be extended according to a patient's ability to walk with a prosthesis following training.
See this image and copyright information in PMC

References

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