Relationship between Service Provision and the Use of Trans-tibial Prostheses: a Study from Sirindhorn School of Prosthetics and Orthotics in Thailand
Keywords:
leg prosthesis, artificial limb, amputeesAbstract
Objectives: To study servicing factors related to the use of trans-tibial prosthesis.
Study design: Retrospective study.
Setting: Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital
Subjects: Amputees who received trans-tibial prostheses and completed follow-up during May 2019 to February 2020
Methods: The data collection was done by reviewing the participants’ medical records and follow-up forms. The data of the participants and of the most recent prosthesis which had been used for at least one month was retrieved. The participants were divided into daily-user and non-daily-user groups.
Results: There were 44 participants. The median age was 56 years. The most common cause of amputation was trauma (40.9%). Most of them had underlying disease (68.2%) and had problems after receiving the prosthesis (68.2%). Twenty-nine participants (65.9%) used the prosthesis every day. Comparing between the two groups, statistically significant difference was found for receiving the prosthesis from less experienced prosthetists and less time from casting to fitting day. (p = 0.026 and 0.006, respectively). The only factor affecting the every-day use of prosthesis was the time from casting to fitting day (odd ratio = 5.4, 95% CI 1.3-22.7). The cut-off duration for casting to fitting day was 21 days.
Conclusion: Most of the amputees who received the tran-stibial prosthesis from Sirindhorn School of Prosthetics and Orthotics used the prosthesis every day. The only factor affecting the everyday use of prosthesis is the time from casting to fitting day. The cut-off duration for casting to fitting day was 21 days.
Keywords: leg prosthesis, artificial limb, amputees
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