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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >The MicroFrame: The Next Generation of Interface Design for Glenohumeral Disarticulation and Associated Levels of Limb Deficiency
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The MicroFrame: The Next Generation of Interface Design for Glenohumeral Disarticulation and Associated Levels of Limb Deficiency

机译：MicroFrame：用于盂唇关节脱位和相关肢体虚弱水平的下一代界面设计

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摘要

The provision of a prosthesis for upper extremity amputees at the glenohumeral disarticulation and associated levels (humeral neck, interscapulothoracic) requires consideration of myriad factors, some of which may include componentry, interface design, fabrication, practitioner experience, and therapeutic intervention. Although state-of-the-art componentry, for example, can dramatically improve outcomes, other factors left unaddressed can negate any advantages that new technology offers. Specifically, the interface is the foundation for successful prosthetic intervention because it can either create conditions that make wearing the prosthesis intolerable or allow high level amputees who were previously not considered candidates finally to benefit from prosthetic intervention. Many individuals fit with a prosthesis at the humeral neck level and higher often complain about the weight of the prosthesis, heat build-up while wearing the prosthesis, lack of stability, difficulty in independent donning, and reduced control of the terminal device when it is positioned in certain planes and body positions; the prostheses have resulted in reduced wearing times and, in many cases, discontinuation of prosthetic use altogether. Although a panacea does not exist, the MicroFrame design addresses these issues more effectively than the traditional interface designs taught in schools today. The purpose of this article is to detail the clinical application of the MicroFrame design. (This MicroFrame may not be appropriate for individuals without delto-pectoral definition and growing children because the anterior/posterior compression of the interface is precisely contoured to the anatomy and must remain constant.)
机译：在盂肱关节脱节及相关水平（肱骨颈，肩ac间孔）上为上肢截肢者提供假体需要考虑多种因素，其中一些因素可能包括部件，界面设计，制造，从业者经验和治疗干预。例如，尽管最先进的组件可以显着改善结果，但其他一些未解决的因素可以抵消新技术提供的任何优势。具体而言，该界面是成功进行假体干预的基础，因为它可以创造条件，使佩戴假体变得无法忍受，或者使以前不被视为候选者的高水平截肢者最终受益于假体干预。许多人在肱骨颈水平上都安装了假体，更高的人经常抱怨假体的重量，佩戴假体时的热量积聚，缺乏稳定性，难以独立穿戴以及在使用终端设备时减少了对终端设备的控制位于某些平面和身体位置;假肢减少了佩戴时间，在许多情况下，完全停止了假肢的使用。尽管不存在灵丹妙药，但MicroFrame设计比当今学校教授的传统界面设计更有效地解决了这些问题。本文的目的是详细介绍MicroFrame设计的临床应用。 （此MicroFrame可能不适用于没有三角胸腔定义的人和成长中的孩子，因为接口的前后压缩正好符合解剖结构，并且必须保持恒定。）

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