Several common false views on the installation of prostheses

2018 / 01 / 23

In many years of teaching and clinical practice of prostheses, we found that many amputated friends have some wrong understanding about installing prostheses, and many workers in the prosthetic industry also have many misunderstandings. Now I would like to talk about my personal opinions on the comm

In many years of teaching and clinical practice of prostheses, we found that many amputated friends have some wrong understanding about installing prostheses, and many workers in the prosthetic industry also have many misunderstandings. Now I would like to talk about my personal opinions on the common mistakes of installing prostheses. I hope that the staff of amputation friends and prosthetic industry will have a correct and clear understanding of this.

One, one year after amputation can the prosthesis be installed.

Many of my friends have amputated the view that after the amputation for a long time to install artificial limb, these friends is the reason after amputation stump edema, no shape, after the prosthetic stump will atrophy. Well, after amputation stump edema after prosthetic stump will shrink, but it should as soon as possible to install temporary prosthetic prosthetics, in order to promote the stump shape, lay the foundation for the installation of permanent prosthesis.

In some countries where finished after salvage surgery for patients with stump a plaster socket is connected below, on foot, patients can get out of bed as soon as possible to practice walking. Or when the amputation wound is long, the prosthesis is installed as soon as possible. The prosthetic before it is best to use elastic bandage stump for a period of time, the winding elastic bandage is designed to promote reflux stump tissue fluid, promote the stump shape, do not put on temporary prosthetic stump atrophy too fast. Attention must be paid to the winding elastic bandage pressure bandage gradually decreasing from the distal to the proximal stump of the proximal stump, not wrapped too tight, otherwise it will prevent reflux stump tissue fluid.

At present, some domestic prosthetic device from the hospital will take over the installation of the artificial limb amputation patients, promote treatment during the stump, directly install the official prosthesis, this is wrong, this will enable patients to wear the hands quickly after shrinking, even a day after some patients wear the hands will wither badly. Patients should require a prosthetic device to oneself first install a temporary prosthesis or even more than one socket, until there is no change to install the official stump socket. Early prosthetic assembly can relieve psychological pressure and prevent bad limb position. After wearing artificial limbs, the training effect is also good, so as to achieve an early return to society.

Two. I hope a prosthesis can be worn all my life

Many friends asked to use life of prosthetic amputation when they want to use a prosthesis for a lifetime, and some of the personnel of the company will promise to the artificial limb amputation of a limb friend can use twenty years or even a lifetime commitment to some use in soliciting business, this was not the reality, just to attract business.

At present, the domestic parts is detected by one million prosthetic dynamic strength without damage, ordinary amputees a year walking is about one million paces, so domestic prosthetics components is generally one year warranty. The spare parts of foreign countries are not destroyed by three million dynamic strength tests, and the maintenance of the spare parts is only two years.

As for the specific life of the prostheses, it is also different from each other, which has a great relationship with the use of each person. It can be imagined that a person wears a prosthetic limb and walks many times every day. The other person wears a prosthesis mainly in the office. The life span of the two persons is different.

Three, the more expensive the prosthetics, the better the use of the effect

Many amputated friends have this mentality. The higher the price of the prosthetic limb is, the better the effect is. In fact, this is a big mistake. The prosthetic company is willing to recommend the high price artificial limb, of course. There are many new technologies used in the field of artificial limbs, and the function of artificial limbs will be improved, so the price of artificial limbs is very high.

Select the prosthesis for amputees should fully consider the various conditions, such as age, weight, health status, living environment, nature of work, stumps (length, soft tissue, muscle strength, stump scar......) Wait, instead of pursuing high prices. Some of the high - priced joints are good, but not for everyone. For example, a frail thigh amputees, install a very expensive sport to his knee is not appropriate, but is suitable for his manual lock knee cheap. As for Benz cars running in the countryside of the rugged road, and it is suitable for tractor.

The type of wear after prosthetic effect not only with prosthetic parts, but also with the amputee's physical condition, stump condition, production division level, with prosthetic training and many factors are closely related. Currently there is a common misunderstanding, that is to pay attention to the types and functions of parts, despise stump training, after wearing prosthetic training contempt. According to our experience, prior to the installation of the artificial limb stump and prosthetic training after the training is very necessary, can improve the effect of wearing prosthetic amputees largely.

The above is just a brief account of the common mistakes in the installation of domestic prosthesis, hoping to help amputees and prosthetic workers.