Problems related to prosthetic components seen in amputees of Pakistan law enforcement agencies during prosthetic episodes
Naureen Tassadaq; Zaheer Ahmed Gill; Saeed Bin Ayaz; Sumeera Matee
Abstract:
Objectives: To identify the common issues related t o prosthetic c o m p on e n t s among amputees of law enforcement agencies reporting fo r foll ow-u p in Arme d Forc es Institute of Rehabilitation Medicine (AFIRM), Rawalpindi and calculate the life for the frequently changed components
Methodology: It was a cross-sectional descriptive study carried out in AFIRM Rawalpindi from October 2013 to December 2014. Through non-probability consecutive sampling, we included individuals with amputations of any etiology. Information was recorded about the type, side, and etiology of amputation, place of injury, time passed in months since previous consultation, the reasons for follow-up (damaged prosthetic foot, damaged liner, socket problems, accessories problems, and problems with cosmetic gloves and sleeves), and the average life of the frequently changed components
Results: Of 98 individuals (mean age 27±6 years, range: 18-43 years), majority suffered from IED bl a st in j ur y ( n =44 , 44. 9 %) i n Fe d er all y Administered Tribal Areas (FATA) region (n=58, 59.2%). Transtibial amputation (n=78, 79.6%) was the most common level of amputation, with equal percentage for the side of body involved (46 each). Th e a verag e f ollow -up time from the la st consultation was 17±15 months (range 2-32 months). The primary prosthetic concerns for the follow-up were regarding prosthetic foot and liner (34 each). The average times after which prosthetic foot and liner were replaced since initial provision were 22±10 months (ran ge12-32 months) and 5±3 months (range 2-8 months), respectively.
Conclusion: Maximum patients reported with issues related to prosthetic foot and liner. The average life reported for these components was shorter than previous studies. (Rawal Med J 202;45:656-660)
Keywords: Amputation, rehabilitation, follow-up, prosthesis failure, prosthesis fitting, artificial limb.