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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Using Elevated Vacuum to Improve Functional Outcomes: A Case Report
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Using Elevated Vacuum to Improve Functional Outcomes: A Case Report

机译：使用升高的真空度改​​善功能结果：一个病例报告

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摘要

Elevated vacuum (EV) is a promising technology in the field of prosthetics. It has been shown to improve the fit of the limb in the socket, resulting in many possible benefits to the function of a prosthesis. However, very little research has been done on its effect on patient function. This unique case report documents the effect on one patient's function of transitioning from a patella-tendon-bearing (PTB) socket with ischial weightbearing thigh cuff (IWBTC) to a prosthesis with an EV socket system. The patient underwent a transtibial amputation as a result of an avulsive trauma and used the PTB socket and thigh cuff for 16 years. In an effort to correct the patient's gait and improve his ability to perform the necessary tasks of his occupation, farming, the patient began using an EV prosthesis. He was interviewed and his functional status was evaluated 1 week, 1 month, and 1 year after receiving the prosthesis. After 1 week, the patient showed improvement in skin condition and expressed increased confidence in difficult locomotor tasks. At 1 month, he was no longer experiencing pain in his sound side knee and his gait symmetry had improved dramatically. After 1 year, the patient showed further improvement in gait and balance as well as the ability to wear the prosthesis comfortably for 24 hours at a time when necessary for his occupation. The transition from a PTB with IWBTC prosthesis to an EV system dramatically improved this patient's functional outcome and lessened the negative effects associated with wearing a prosthesis.
机译：在假体领域，高真空（EV）是一种很有前途的技术。已经显示出它可以改善肢体在承窝中的贴合性，从而为假体的功能带来许多可能的好处。但是，关于其对患者功能的影响的研究很少。这份独特的病例报告记录了从具有坐骨负重大腿套（IWBTC）的a骨-肌腱（PTB）承窝过渡到带EV承窝系统的假体对一名患者的功能的影响。该患者由于撕脱性创伤而进行了胫骨截肢，并使用了PTB窝和大腿袖套16年。为了纠正患者的步态并提高其执行必要的职业（农业）任务的能力，患者开始使用EV假体。在接受假体后的1周，1个月和1年，对他进行了采访并评估了其功能状态。 1周后，患者皮肤状况得到改善，并且对困难的运动任务表现出增强的信心。 1个月后，他的膝盖不再疼痛，步态对称得到了极大改善。一年后，患者在步态和平衡方面进一步改善，并且在需要进行职业治疗时，一次可以舒适地佩戴假体24小时。从带有IWBTC假体的PTB到EV系统的过渡极大地改善了该患者的功能结局，并减轻了佩戴假体带来的负面影响。

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