2007, Number 1
Utilization of lower limb prosthetics. Mid-term follow-up of an amputated population in pediatric age
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ABSTRACTObjectives: To investigate the mid-term follow-up on the use of lower limb prosthetics in a group of patients managed in a pediatric orthopedic hospital that have been discharged; and to investigate the state of the prosthesis, the presence of symptoms, the working status and the need for additional surgeries. Material and methods: All patients seen in the prosthetics clinic at the Shriners Hospital for Children, from 1970 to 2001, and managed with a lower limb prosthetic, were identified. Eighty two patients were identified but only 11 were amenable to follow-up with a questionnaire that was applied. Results: Information was obtained for 11 patients with 13 prosthetics, with an average current age of 28.4 years (range: 25 to 32). Nine of them work. The average follow-up from admission to the Hospital to application of the questionnaire was 20.3 years (range: 12.2 to 27.4), with an average follow up of 8.6 years (range: 4.5 to 11.1) after discharge. All patients use their prosthetic every day, but 9 are damaged and the patients are unable to repair them. Eight patients have symptoms with the use of the prosthetic. Conclusions: This study highlights the difficulties in achieving mid- and long-term follow in this group of patients. Most of the patients have significantly damaged prosthesis, but continue to use them most of the day, as they depend on them completely for their daily activities.
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