充氣式暫時義肢臨床應用之初步結果

Clinical Trial of Pneumatic Pylon in Early Amputation

鄧復旦(Fuk-Tan Tang) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 16期 (1988/12) Pp. 23-26

https://doi.org/10.6315/JRMA.198812.0023

摘要

為了讓下肢截肢患者在手術以後能夠早日站立步行及加速殘肢浮腫的消退，本院於1987年引進充氣式暫時義肢，並作若干改良。自1987年5月至10月間共有10位病人使用此種充氣式暫時義肢，本研究將就此10位病人使用的情形進行分析。
中型大腿截肢佔2人，膝下截肢佔8人。10位使用的病人均沒有發生殘肢疼痛或破皮現象。其中8人在使用之後幻肢感獲得改善。有9位病人在使用後對以後裝配定型義肢產生很大信心，而且很快便能適應定型義肢。
由於台灣地區天氣潮溼，傷口感染率較高，且手術後即刻裝配暫時義肢(IPPF)較需人力技術，所以充氣式暫時義肢很適合在台灣使用，值得推廣。

並列摘要

Pneumatic pylon is used for the lower extremity amputees to allow early ambulation and to reduce stump edema postoperatively. The results of pneumatic pylon was studied in 10 patients who received lower extremity amputation form May 1987 to October 1987 at Chang Gung Memorial Hospital.
Among them, two cases received above-knee amputation and eight cases received below-knee amputation. No stump pain and skin break-down was noted in all cases studied. Phantom sensation was improved in eight patients.
Nine patientshowed complete confidence in the future fitting of permanent prosthesis. They needed shorter training time using permanent prosthesis.
Wound infection is high in Taiwan due to its climatic factor of humidity and also immediate postsurgical prothesis fitting, IPPF, comperatively requires more
manpower as well as technical skill. Owing to such disadvantages, pneumatic pylon is a better and suitable alternative and should be highly recommended in Taiwan.

並列關鍵字

pneumatic pylon ； prosthesis ； lower extremity amputation