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Abstract
Subject. Primary prosthesis of patients after below-and above knee amputation.
Objective. Show the significance of the developed new technology of early primary prosthetics by the express methods after amputation of the lower leg and thigh to increase the level of their rehabilitation and social adaptation.
Methods. An optimal standard size range of receiving adjustable sleeves for primary prosthetics by the express method was developed for right-sided and left-sided amputation defects of the lower leg and thigh and scientific and practical studies of the results of their application in the early periods after amputations were carried out.
Results. The new technology of early primary prosthetics by the express method provides an opportunity to restore the ability to move earlier, to reduce the aggravation of functional limitations after above and below knee amputation. This technology does not require high financial costs due to the possibility of multiple use of the same adjustable socket with a modular connection for other patients, facilitates the choice of the optimal configuration and design of the prosthesis, taking into account the dynamics of changes shape of the stump and the physical activity. This technology can be used in treatment practice in clinics, hospitals of prosthetic and orthopedic enterprises or rehabilitation centers before the design of an individual program for the rehabilitation of a disabled person, as well as for prosthetic help in special situations.
Conclusion. The developed new technology of early primary prosthetics for the lower limbs allows to significantly shorten the terms of prosthetics for early recovery of the ability to move and self-service, to reduce the aggravation of functional limitations after above and below knee amputation , without additional costs to determine the optimal equipment of the prosthesis and to adjust the design of it, taking into account the individual characteristics of the disabled person and disorders typical of elderly patients suffering from diseases vessels of the lower extremities.
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Korolev SG, Batiskin SA, Zoloev DG, Vasilchenko YeM. An analysis of the contingent of people with disabilities and the results of primary prosthetics of the lower limbs. Polytrauma/Polytrauma. 2011; 1: 60-64. Russian (Королёв С.Г., Батискин С.А., Золоев Д.Г., Васильченко Е.М. Анализ контингента инвалидов и результаты первичного протезирования нижних конечностей //Политравма/Polytrauma. 2011. № 1. С. 60-64)
Zoloev GK. Obliterating arterial diseases. Surgical treatment and rehabilitation of patients with limb loss. M.: Littera, 2015. 480 p. Russian (Золоев Г.К. Облитерирующие заболевания артерий. Хирургическое лечение и реабилитация больных с утратой конечности. М.: Литтера, 2015. 480 с.)
Kantemirova RK, Burnos AA, Povorinsky AA, Suslyaev VG, Fidarova ZD, Zalnova IA. Assessment of the physical condition and adaptation reserves of disabled elderly and senile age, who underwent amputation of the lower extremities at the stage of preparation for prosthetics. Rehabilitation − XXI century: traditions and innovations: Mat. I-st nat. congress. with Int. participation. St. Petersburg, September 14-16. 2017. St. Petersburg: FNCSRI them. G.A. Albrecht, 2017. P. 185-186. Russian (Кантемирова Р.К., Бурнос А.А., Поворинский А.А., Сусляев В.Г., Фидарова З.Д., Зальнова И.А. Оценка физического состояния и адаптационных резервов инвалидов пожилого и старческого возраста, перенесших ампутацию нижних конечностей на этапе подготовки к протезирования //Реабилитация – XXI век: традиции и инновации: Матер. I-го нац. конгр. с междунар. участием. СПб, 14-16 сент. 2017 г. СПб: ФНЦРИ им. Г.А. Альбрехта, 2017. С. 185-186)
Batiskin SA. Below knee amputation of the lower leg with obliterating diseases of the vessels of the lower extremities: dis. ... cand. med. sciences, 2017. 125 p. Russian (Батискин С.А. Ампутация на уровне голени при облитерирующих заболеваниях сосудов нижних конечностей: дисс. … канд. мед. наук. Новосибирск, 2017. 125 с.)
Zoloyev DG, Baranov AI. Treatment of patients with ischemia of the stump of the thigh. Questions of reconstructive and plastic surgery. 2015; 4(55): 37-42. Russian (Золоев Д.Г., Баранов А.И. Лечение больных с ишемией культи бедра //Вопросы реконструктивной и пластической хирургии. 2015. № 4(55). С. 37-42)
Orthopedics: national leadership /ed. SP Mironova, GP Kotel'nikov. M.: GEOTAR-Media, 2011. P. 688. Russian (Ортопедия: национальное руководство /под ред. С.П. Миронова, Г.П. Котельникова. М.: ГЭОТАР-Медиа, 2011. C. 688)
Baumgartner R, Botta P. Amputation and prosthetics of lower extremities. M.: Medicina, 2002. 486 p.
Suslyaev VG, Shcherbina KK, Sobolev SE, Kurdybailo SF, Gerasimova GV, Yankovsky VM et al. The preparting and primary prosthetics for the disabled after below and above knee amputation of the due to obliterating diseases of the vessels of the lower extremities and diabetes mellitus. SPb.: «TIATSAN», 2015. 63 p. Russian (Сусляев В.Г., Щербина К.К., Соболев С.Е., Курдыбайло С.Ф., Герасимова Г.В., Янковский В.М. и др. Подготовка и первичное протезирование инвалидов после ампутации голени и бедра вследствие облитерирующих заболеваний сосудов нижних конечностей и сахарного диабета. СПб.: ООО «ЦИАЦАН», 2015. 63 с.)
Preparation and treatment-and-training prosthetics for elderly disabled with below and above knee stump: method. recommendations /Ministry of Labor and Social Protection of the Russian Federation; FGBU FNCSRI them. G.A. Albrecht Ministry of Labor of Russia [VG Suslyaev et al.]. SPb: R-KOPI, 2017. 75 p. Russian (Подготовка и лечебно-тренировочное протезирование инвалидов пожилого возраста с культей голени и бедра: метод. рекомендации /Министерство труда и социальной защиты Российской Федерации; ФГБУ ФНЦРИ им. Г.А. Альбрехта Минтруда России [В.Г. Сусляев и др.]. СПб: ООО «Р-КОПИ», 2017. 75 с.)
Smirnova LM. Technology and systems of instrumental evaluation of the effectiveness of prosthetics and orthosis of the lower extremities: proc. allowance. SPb., 2015. 102 p. Russian (Смирнова Л.М. Технология и системы инструментальной оценки эффективности протезирования и ортезирования нижних конечностей: учеб. пособие. СПб., 2015. 102 с.)
Smirnova LM, Kozlov AA, Yankovsky VM, Suslyaev VG. The method of fitting the receiving sleeve of the prosthesis for the supporting stump of the lower extremity. A.c. 1727825 USSR, IPC5 A 61 F2/76, A 61 F5/00. N 4828049; claimed. 09.11.89; publ. 23.04.92, Bul. № 15. Russian (Смирнова Л.М., Козлов А.А., Янковский В.М., Сусляев В.Г. Способ подгонки приемной гильзы протеза для опороспособной культи нижней конечности. А.с. 1727825 СССР, МПК5 А 61 F2/76, А 61 F5/00. № 4828049; заявл. 09.11.89; опубл. 23.04.92, Бюл. № 15)