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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Custom Removable Immediate Postoperative Prosthesis
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Custom Removable Immediate Postoperative Prosthesis

机译：定制可移动即时术后假体

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摘要

Many postoperative treatment modalities for the transtibial amputee are in current use. A simple gauze dressing is the treatment of choice for many surgeons. Another option is compression therapy using an ace bandage or stump shrinker. A more aggressive approach would include the use of a rigid dressing or an immediate postoperative prosthesis (IPOP). The latter modality, although documented to offer the highest rate of healing, is possibly the least used because of many factors, including lack of familiarity with the treatment, a fear of placing a hard cast on a vascularly compromised limb, and the need to frequently monitor the wound. The traditional IPOP is a nonremovable cylinder cast. When the residual limb needs to be inspected, the cast is cut off using a cast saw. Another cast is then fabricated if the IPOP continues to be used. This article presents a removable IPOP, designed for the diabetic, peripheral vascular disease amputee, that specifically addresses the needs of the surgeon. In addition, the design permits a proactive clinical team approach, enhancing the treatment of the prosthetist and the physical therapist.
机译：经皮截肢者的许多术后治疗方法目前正在使用中。简单的纱布敷料是许多外科医生的治疗选择。另一种选择是使用ace绷带或树桩收缩器进行压迫疗法。更具攻击性的方法将包括使用刚性敷料或术后即刻使用假体（IPOP）。尽管据报导后一种方式可以提供最高的治愈率，但由于许多因素，包括缺乏对治疗的了解，担心在血管受损的肢体上放置硬石膏等因素，后一种方式可能使用最少。监视伤口。传统的IPOP是不可拆卸的圆柱铸件。当需要检查残留肢体时，可使用铸锯将铸件切断。如果继续使用IPOP，则会制作另一个模型。本文介绍了一种专为糖尿病，外周血管疾病截肢者设计的可移动式IPOP，它专门解决了外科医生的需求。此外，该设计允许采取积极的临床团队方法，从而增强了对假肢和物理治疗师的治疗。

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