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Journal articles on the topic 'Prosthetic rehabilitation'

Author: Grafiati
Published: 4 June 2021
Last updated: 12 February 2022

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1

Ennion, Liezel, and Sarah Manig. "Experiences of lower limb prosthetic users in a rural setting in the Mpumalanga Province, South Africa." Prosthetics and Orthotics International 43, no. 2 (August 16, 2018): 170–79. http://dx.doi.org/10.1177/0309364618792730.

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Background: Ambulation with a prosthesis is the ultimate goal of rehabilitation for a person with a major lower limb amputation. Due to challenges with prosthetic service delivery in rural settings, many patients with amputations are not benefitting from prosthetic interventions. Inaccessibility to prosthetic services results in worse functional outcomes and quality of life. Learning from the experiences of current prosthetic users in this setting can assist to improve prosthetic service delivery. Objectives: To explore the experiences of lower limb prosthetic users and to understand the importance of a lower limb prosthesis to a prosthetic user in a rural area of South Africa. Study design: A generic qualitative approach and an explorative design were utilised in this study. Methods: A semi-structured interview guide was used to collect data from nine prosthetic users in a rural area in the Mpumalanga province of South Africa. Interviews were audio-recorded, transcribed verbatim and analysed thematically. Demographic details and information related to acute in-patient rehabilitation were analysed descriptively. Results: All participants were independent in activities of daily living with their prosthesis and participated actively in their community. Participants reported that their prosthesis was essential to their functioning. High travel cost was highlighted as a barrier to the maintenance of their prosthesis. Patients were dissatisfied with being unemployed. Conclusion: Prosthetic intervention positively influences function, independence and community participation. Challenges relating to the accessibility, cost and maintenance of prosthetics should be a priority to ensure continued functional independence for prosthetic users. Clinical relevance Understanding the importance of a prosthesis to a prosthetic user validates prosthetic intervention for persons living with an amputation in a rural setting and is vital in establishing and remodelling effective systems for prosthetic service delivery.
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Resnik, Linda, Matthew Borgia, Allen W. Heinemann, and Melissa A. Clark. "Prosthesis satisfaction in a national sample of Veterans with upper limb amputation." Prosthetics and Orthotics International 44, no. 2 (January 21, 2020): 81–91. http://dx.doi.org/10.1177/0309364619895201.

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Background: Many persons with upper limb amputation reject prostheses, and many are not satisfied with their devices. Research is needed to understand modifiable factors related to device satisfaction. Myoelectric devices with multiple degrees of freedom are now available; however, no studies have examined whether they lead to greater device satisfaction. Prosthetic training contributes to more skillful prosthesis use and greater likelihood of long-term use; however, the relationship between training and device satisfaction is unclear. Objectives: (1) To describe and compare satisfaction by prosthesis and terminal device type and (2) to identify factors associated with satisfaction. Study design: Cross-sectional study. Methods: Participants were 449 persons with unilateral upper limb amputation who used a prosthesis. Participants described their prostheses, prosthetic training, device repairs, visits to a prosthetist, and rated device satisfaction using two standardized measures (Trinity Amputation and Prosthesis Experience Scales Satisfaction scale and Orthotics and Prosthetics Users’ Survey - Client Satisfaction with Devices scale). Multivariate generalized linear regression models examined the relationship between prosthesis and terminal device type and satisfaction, controlling for covariates that were meaningful in bivariate analyses. Results: There were no differences in satisfaction by prosthesis type or terminal device degrees of freedom. Satisfaction was associated with receipt of training to use the initial prosthesis, amputation level, age, and race. Conclusion: No differences in satisfaction by device or terminal device type were observed. Worse satisfaction was associated with more proximal amputation level, younger age, and black race. The association between receipt of initial prosthetic training and device satisfaction points to the critical role of occupational or physical therapy in the early stages of prosthetic care. Clinical relevance Prosthetic satisfaction did not vary by device or terminal device degrees of freedom. Proximal amputation level, younger age, and black race were associated with lower prosthetic satisfaction. Receipt of initial prosthetic training was associated with greater device satisfaction, pointing to the critical role and lasting impact of early training.
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Jönsson, Stewe, Kerstin Caine-Winterberger, and Rickard Brånemark. "Osseointegration amputation prostheses on the upper limbs: methods, prosthetics and rehabilitation." Prosthetics and Orthotics International 35, no. 2 (June 2011): 190–200. http://dx.doi.org/10.1177/0309364611409003.

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Background: The osseointegration programme for upper extremity amputation started in Sweden in 1990, when a titanium fixture was first implanted into a thumb. This method has since been used for transhumeral and below-elbow amputation. The treatment involves two surgical procedures. During the first a titanium fixture is surgically attached to the skeleton, and a second procedure six months later involves a skin penetrating abutment to which the prosthesis is attached.Objectives: To describe the osseointegration procedure for surgery, prosthetics and rehabilitation.Methods: Patients with short stumps and previous problems with prosthetic fitting were selected. From 1990 to April 2010, 37 upper limb cases were treated and fitted with prosthesis: 10 thumbs, 1 partial hand, 10 transradial and 16 transhumeral amputations. Of these, 7 patients are currently not prosthetic users.Results: Patients indicated that function and quality of life had improved since osseointegration.Conclusion: Osseointegration is an important platform for present and future prosthetic technology. The prosthetic situation is improved due to the stable fixation, freedom of motion and functionality.Clinical relevance The two-stage osseointegration procedure has the potential to change the rehabilitation strategy for selected upper limb amputees. The method eliminates the need for a socket and the prosthesis will always fit. The stable prosthetic fixation and increased freedom of motion generates improved function. Specially designed components and rehabilitation procedures have been developed.
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Murić, Almina, Demet Cagil Ayvalioglu, and Bilge Gokcen Rohlig. "Prosthetic Rehabilitation of Cleft Lip Palate with Andrews Bridge Modified as Obturator Prosthesis: Case Report." Balkan Journal of Dental Medicine 24, no. 1 (March 1, 2020): 57–61. http://dx.doi.org/10.2478/bjdm-2020-0010.

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SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.
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Hilgers, Frans J. M., and R. Theo Gregor. "Prosthetic Voice and Pulmonary Rehabilitation." Otolaryngology–Head and Neck Surgery 112, no. 5 (May 1995): P185. http://dx.doi.org/10.1016/s0194-5998(05)80501-7.

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Educational objectives: To understand the prospects of postlaryngectomy prosthetic voice and pulmonary rehabilitation with an indwelling voice prosthesis system, related appliances and HME and to comprehend the possibilities of prosthetic voice rehabilitation after various pharyngeal and/or esophageal reconstructions.
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Huizing, Karin, Heleen Reinders-Messelink, Carel Maathuis, Mijna Hadders-Algra, and Corry K. van der Sluis. "Age at First Prosthetic Fitting and Later Functional Outcome in Children and Young Adults with Unilateral Congenital Below-Elbow Deficiency: A Cross-Sectional Study." Prosthetics and Orthotics International 34, no. 2 (June 2010): 166–74. http://dx.doi.org/10.3109/03093640903584993.

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The objective of this study was to evaluate whether prosthetic fitting before the age of one year is associated with better outcomes in children with unilateral congenital below-elbow deficiency compared to children fitted after the age of one. Twenty subjects aged 6–21 years were recruited (five prosthetic users and 15 non-users). The Child Amputee Prosthetics Project-Prosthesis Satisfactory Inventory (CAPP-PSI) and the Prosthetic Upper Extremity Functional Index (PUFI) were used to assess patient satisfaction and functional use of the prosthesis. Videotapes were used to assess motor performance. Initial prosthetic fitting before one year of age was related to use of a prosthesis for at least four years. Age at first fitting was not associated with satisfaction with the prosthesis, functional use of the prosthesis or motor skills. Discrepancies between ease of performance with prosthesis and usefulness of the prosthesis as well as between capacity and performance of activities were found. The video assessments showed impaired movement adaptation to some tasks in six subjects. In conclusion, early prosthetic fitting seems to have a limited impact on prosthesis use during later stages of life.
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Ennion, Liezel, and Anton Johannesson. "A qualitative study of the challenges of providing pre-prosthetic rehabilitation in rural South Africa." Prosthetics and Orthotics International 42, no. 2 (March 20, 2017): 179–86. http://dx.doi.org/10.1177/0309364617698520.

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Background: There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. Objective: To explore therapists’ experiences with providing pre-prosthetic rehabilitation in a rural setting. Study design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. Results: The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists’ ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Conclusion: Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.
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Alvarez-Camacho, Michelin, Victor Alvarez-Guevara, Carlos Galvan Duque Gastelum, Daniel Flores Vazquez, Gerardo Rodriguez-Reyes, and Francisco Manuel Sanchez-Arevalo. "Use of three-dimensional digital image correlation to evaluate mechanical response of prosthetic systems." Prosthetics and Orthotics International 41, no. 1 (July 10, 2016): 101–5. http://dx.doi.org/10.1177/0309364616637956.

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Background and aim:The need of comfortable and safe prosthetic systems is an important challenge for both prosthetists and engineers. The aim of this technical note is to demonstrate the use of three-dimensional digital image correlation to evaluate mechanical response of two prosthetic systems under real patient dynamic loads.Technique:This note describes the use of three-dimensional digital image correlation method to obtain full-field strain and displacement measurements on the surface of two lower limb prostheses for Chopart amputation. It outlines key points of the measurement protocol and illustrates the analysis of critical regions using data obtained on specific points of interest.Discussion:The results show that the use of three-dimensional digital image correlation can be a tool for the prosthetist to optimize the prosthesis considering features related to the material and design, in order to bear with real patient-specific load conditions.Clinical relevanceThree-dimensional digital image correlation can support decision-making on new designs and materials for prosthetics based on quantitative data. Better understanding of mechanical response could also assist prescription for appropriate prosthetic systems.
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9

Gehl, G. "Prosthetic Rehabilitation." Journal of Cranio-Maxillofacial Surgery 22, no. 5 (October 1994): 317. http://dx.doi.org/10.1016/s1010-5182(05)80084-8.

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10

Roberts, A. C. "Prosthetic rehabilitation." British Journal of Plastic Surgery 47, no. 6 (1994): 451. http://dx.doi.org/10.1016/0007-1226(94)90082-5.

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11

Nayar, S. "Prosthetic rehabilitation." British Dental Journal 206, no. 11 (June 2009): 601–2. http://dx.doi.org/10.1038/sj.bdj.2009.507.

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12

Thomas, Keith F., Jonathan Penchas, and Moti Sela. "Prosthetic Rehabilitation." Implant Dentistry 3, no. 3 (1994): 198. http://dx.doi.org/10.1097/00008505-199409000-00026.

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Huband, Michael. "Prosthetic Rehabilitation." Dermatologic Clinics 29, no. 2 (April 2011): 325–30. http://dx.doi.org/10.1016/j.det.2011.01.006.

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14

Akagawa, Y. "Prosthetic rehabilitation." Journal of Dentistry 23, no. 4 (August 1995): 261–62. http://dx.doi.org/10.1016/0300-5712(95)90003-9.

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15

ISAKOW, D. "Prosthetic Rehabilitation." Alpha Omegan 101, no. 3 (September 2008): 169. http://dx.doi.org/10.1016/j.aodf.2008.07.006.

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Aragon, Cecilia E. "Prosthetic Rehabilitation." Journal of Dental Education 72, no. 9 (September 2008): 1084. http://dx.doi.org/10.1002/j.0022-0337.2008.72.9.tb04583.x.

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17

Fernandez, Teny, and R. Ravichandran. "Prosthetic Rehabilitation of a partially Amputated Finger using a Silicone Prosthesis." International Journal of Prosthodontics and Restorative Dentistry 6, no. 1 (2016): 10–13. http://dx.doi.org/10.5005/jp-journals-10019-1145.

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ABSTRACT Amputation of a finger will have considerable functional and psychological impact on an individual. Although prosthetic rehabilitation incorporating implants is considered an ideal treatment option, the patient may not give consent due to apprehension toward surgical procedures. The ideal prosthesis should replace the missing part of the finger so precisely that it would not draw the attention of the observer. Fabrication of such a prosthesis will require great technical and artistic expertise. This paper presents a case of prosthetic rehabilitation of an amputated finger using a silicone finger prosthesis. How to cite this article Fernandez T, Harshakumar K, Ravichandran R. Prosthetic Rehabilitation of a partially Amputated Finger using a Silicone Prosthesis. Int J Prosthodont Restor Dent 2016;6(1):10-13.
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Shormanov, Igor S., and Dmitriy N. Shchedrov. "Medical and social rehabilitation following testicular prosthesis in post-orchiectomy patients." Urologicheskie vedomosti 8, no. 2 (December 15, 2018): 43–52. http://dx.doi.org/10.17816/uroved8243-52.

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Aim. The aim of this study was to optimize indications and techniques and to develop the optimal timing for testicular prosthesis following inversion in adolescence considering the assessment of quality of life of patients at different times following the surgery. Materials and methods. We observed 70 patients with gonadal loss following critical ischemia (torsion) at ages 11-18 years (average, 15.5 ± 2.3 years). In total, 49 patients underwent joint replacement after orchiectomy due to torsion. In 21 patients, prosthetics were preceded by orchiectomy for testicular atrophy as a result of twisting. The interval from an acute episode to joint replacement ranged from 6 months to 15 years. Three techniques for testicular prosthesis implantation were applied: prosthetics with inguinal access without suturing the scrotal entrance (n = 14); prosthetics with inguinal access with suturing the scrotal entrance by the originally developed technique (n = 34); and a prosthetic scrotum (n = 22). Patient satisfaction was assessed based on the different outcomes of testicular inversion according to the originally developed questionnaire. Results. Suturing the scrotal entrance reduces the risk of implant migration in the proximal direction due to anatomical prerequisites. Scrotal access does not have this drawback but increases the risk of inflammatory complications. The esthetic result of prosthetics depends on patient’s age during orchiectomy. Older patients tend to have better cosmetic results. The most favorable results of prosthetics are noted at the time that has passed since the turn - no more than 3 years; all unsatisfactory results are noted at the time of more than 5 years since the twist. Testicular prosthesis increases social adaptation of patients after gonadal loss and improves their quality of life. Conclusions. 1. Testicular prosthesis is an essential stage of patient rehabilitation after an orchiectomy for inversion. 2. Prosthetic inguinal access by the originally developed technique is optimal from a technical perspective and provides the most physiological standing of the implant. 3. Prosthetics results directly depend on the period following the initial operation. 4. Testicular prosthesis complications can be minimized with the accumulation of knowledge and surgical experience and their rational prevention. 5. Assessment of patients’ quality of life illustrates the necessity of gonadal prosthetics for cosmetic compensation of organ loss and psycho-emotional and social rehabilitation. (For citation: Shormanov IS, Shchedrov DN. Medical and social rehabilitation following testicular prosthesis in post-orchiectomy patients. Urologicheskie vedomosti. 2018;8(2):43-52. doi: 10.17816/uroved8243-52).
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AL-Oulabi, Ayman, Matheel AL Rawas, Taseef Hasan Farook, Farah Rashid, Aparna Barman, Nafij Bin Jamayet, and Mohammad Khursheed Alam. "The loss of an eye due to occupational injury: Two case studies of ocular prosthetic rehabilitation." Work 69, no. 3 (July 16, 2021): 865–70. http://dx.doi.org/10.3233/wor-213519.

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BACKGROUND: Two patients received ocular injuries from rusted metallic projectiles at their industrial workplaces. Said injuries resulted in the loss of their eyes by evisceration surgeries to prevent fatal infections. CASE DESCRIPTION: The first case, a man in his twenties, received a stock conformer immediately after surgery and started prosthetic therapy within 2 months. The second case, a man in his forties, started prosthetic therapy after 10 years. Definitive custom ocular prostheses were fabricated and relined according to conventional protocol. RESULTS: On issue of the prosthesis, there was adequate retention, aesthetics and stability to extra-ocular movements and treatment was considered successful for both cases. However, follow-ups showed noticeable prosthetic eye movements for case 1 which, to some extent mimicked the physiologic movement of its fellow natural eye. Case 1 adjusted to his prosthesis better while case 2 was still adjusting with little to no physiologic movement. CONCLUSION: Prosthetic rehabilitation should be started as early as possible to obtain optimum rehabilitative results.
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Hatami, Mahnaz, Hamid Badrian, Siamak Samanipoor, and Marcelo Coelho Goiato. "Magnet-Retained Facial Prosthesis Combined with Maxillary Obturator." Case Reports in Dentistry 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/406410.

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Prosthetic rehabilitation of the midfacial defects has always perplexed prosthodontists. These defects lead to functional and esthetic deficiencies. The purpose of this clinical case report was the presentation of the prosthetic rehabilitation of an extraoral-intraoral defect using two-piece prosthesis magnetically connected. This prosthesis has dramatically improved the patient’s speech, mastication, swallowing, and esthetic.
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Carvalho, Viviane de, and Luiz Ubirajara Sennes. "Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation." International Journal of Dentistry 2016 (2016): 1–11. http://dx.doi.org/10.1155/2016/6548014.

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Maintaining oral function in patients undergoing glossectomy boosts interventions such as prosthetic rehabilitation. However, current literature still fails in the presentation of results of prosthetic rehabilitation in relation to speech or swallowing. The objective of this research is to evaluate the effectiveness of prosthetic rehabilitation on voice, speech, and swallowing in patients undergoing glossectomy by performing a systematic literature review and meta-analysis of individual cases. Studies were identified by relevant electronic database and included all dates available. The criteria used were sample with any n; resection due to malignant tumors, restricted to tongue and/or floor of mouth; type of prosthetic rehabilitation; and description of the oral functions outcomes with prosthesis. For the meta-analysis of individual data, associations between the variables of interest and the type of prosthesis were evaluated. Thirty-three of 471 articles met the selection criteria. Results on speech and/or voice and swallowing were reported in 27 and 28 articles, respectively. There were improvement of speech intelligibility and swallowing in 96 patients and in 73 patients, respectively, with prosthesis. Based on the available evidences, this article showed that prosthetic rehabilitation was able to improve oral functions and can be a strategy used with surgical reconstruction in selected cases.
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Pienaar, Elzbeth, and Surona Visagie. "Prosthetic use by persons with unilateral transfemoral amputation in a South African setting." Prosthetics and Orthotics International 43, no. 3 (February 7, 2019): 276–83. http://dx.doi.org/10.1177/0309364619825891.

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Background: Due to limitations in provision of prosthetic care in South Africa, a screening tool to select transfemoral prosthetic candidates has been implemented. Objective: To describe prosthetic services, use and mobility of people with transfemoral amputation, identified as prosthetic candidates through the Guidelines for Screening of Prosthetic Candidates: Lower Limb, and to identify variables that might influence prosthetic use and mobility. Design: Cross-sectional survey. Methods: The study population included all adults who received their first prosthesis from the Orthotic and Prosthetic Centre in the Western Cape between 1 June 2011 and 31 December 2014. Data were collected, with an adapted version of the Prosthetic Profile of the Amputee, from 43 participants, through telephonic interviews. Descriptive and inferential analysis, with the chi-square test, was done. Results: The majority of participants were older than 50 years (77%). Most participants (35; 81%) used their prosthesis; however, only 42% (18) used it daily. A significant association ( p = 0.000) was found between prosthetic rehabilitation and self-reported prosthetic walking distance. Less than half of participants received prosthetic rehabilitation and only 10 (30%) could walk 500 steps and more without resting. Conclusion: Participants used their prosthetic leg, but experienced limitations in frequency of wear and mobility. Clinical relevance Current findings showed that participants’ prosthetic mobility was curtailed. In less-resourced settings, carefully selecting prosthetic candidates may be necessary to provide access to services. Prosthetic provision is advised to be followed up with prosthetic rehabilitation for favourable mobility outcomes.
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Gretsch, Kendall F., Henry D. Lather, Kranti V. Peddada, Corey R. Deeken, Lindley B. Wall, and Charles A. Goldfarb. "Development of novel 3D-printed robotic prosthetic for transradial amputees." Prosthetics and Orthotics International 40, no. 3 (May 2015): 400–403. http://dx.doi.org/10.1177/0309364615579317.

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Background and aim: Upper extremity myoelectric prostheses are expensive. The Robohand demonstrated that three-dimensional printing reduces the cost of a prosthetic extremity. The goal of this project was to develop a novel, inexpensive three-dimensional printed prosthesis to address limitations of the Robohand. Technique: The prosthesis was designed for patients with transradial limb amputation. It is shoulder-controlled and externally powered with an anthropomorphic terminal device. The user can open and close all five fingers, and move the thumb independently. The estimated cost is US$300. Discussion: After testing on a patient with a traumatic transradial amputation, several advantages were noted. The independent thumb movement facilitated object grasp, the device weighed less than most externally powered prostheses, and the size was easily scalable. Limitations of the new prosthetic include low grip strength and decreased durability compared to passive prosthetics. Clinical relevance Most children with a transradial congenital or traumatic amputation do not use a prosthetic. A three-dimensional printed shoulder-controlled robotic prosthesis provides a cost effective, easily sized and highly functional option which has been previously unavailable.
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Gafoor, S. Abdul, and M. Mohan Raj. "Upper Extremity Prosthesis — What Is New in It?" Indian Journal of Physical Medicine and Rehabilitation 27, no. 3 (2016): 67–72. http://dx.doi.org/10.5005/ijopmr-27-3-67.

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Abstract Over the past 40 years, technology has dramatically affected the field of upper limb prosthesis. With improvement in the electronics industry, along with advances in the miniaturisation and mass production of electronic components, myoelectrically controlled prosthesis has become reliable and widespread in their use. Compared to lower extremity amputees, the acceptance of prosthetic replacement is less in upper extremity amputees. This may be due to different factors like functional needs, cosmetic factors, motivation of the patient, inadequate training following conventional prosthetic fitment, etc. More and more developments are going on in upper limb extremity prosthesis which will fulfill the need of the upper limb amputees. Such developments ensure better rehabilitation though cost is a limiting factor. This article is an earnest attempt to review the recent trends in upper limb prosthetics.
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Heinemann, Allen W., Linda Ehrlich-Jones, Lauri Connelly, Patrick Semik, and Stefania Fatone. "Enhancing quality of prosthetic services with process and outcome information." Prosthetics and Orthotics International 41, no. 2 (April 18, 2016): 164–70. http://dx.doi.org/10.1177/0309364616637957.

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Background: Prosthetic clinics in the United States must attain accreditation in order to receive reimbursement from Medicare. The accreditation process requires clinics to establish and implement performance management plans and quality improvement activities. This report describes the experience of seven prosthetic clinics in collecting patient-reported outcome data and using it to improve quality of services. Objectives: To describe the experience of prosthetic clinics implementing outcome monitoring and quality improvement activities as part of routine patient care. Study design: Qualitative, ethnographic design. Methods: Clinics incorporated the Orthotics Prosthetics Users’ Survey into routine care for patients aged 18 years and older who received a new lower limb prosthesis or socket. Orthotics Prosthetics Users’ Survey measures lower extremity functional status, quality of life, and satisfaction with device and services. Clinics selected Orthotics Prosthetics Users’ Survey-derived indicators on which to implement quality improvement action plans. Results: Seven clinics participated, but only three were able to sustain data collection. Two clinics initiated quality improvement activities focused on improving declining satisfaction or functional scores. Conclusions: Quality improvement activities based on patient-reported outcomes require a high degree of organizational commitment and support. External facilitation can support clinics’ quality improvement activities. Clinical relevance This project illustrates the challenges of sustaining quality improvement activities using patient-reported outcome data in prosthetic clinics.
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Ullah Khan, Muhammad Waseem, Sabiha Naeem, and Qudsia Iqbal. "Prosthetic Rehabilitation of An Acquired Maxillary Defect with Definitive Obturator Prosthesis- A Clinical Technique." Journal of the Pakistan Dental Association 29, no. 02 (May 6, 2020): 100–102. http://dx.doi.org/10.25301/jpda.292.100.

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Katyayan, Preeti Agarwal, Manish Katyayan, and N. Kalavathy. "Prosthetic Rehabilitation of a Maxillofacial Defect in a Chondrosarcoma Patient." Journal of Contemporary Dental Practice 12, no. 5 (2011): 398–403. http://dx.doi.org/10.5005/jp-journals-10024-1066.

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ABSTRACT Chondrosarcoma is a malignant tumor in which the tumor cells produce cartilage but not bone. The recommended management is wide local or radical excision, followed by surgical and prosthetic reconstruction. This article explains postsurgical prosthetic rehabilitation of a chondrosarcoma patient by means of intraoral acrylic, and extraoral silicone prosthesis for restoration of normal orofacial function and appearance. How to cite this article Katyayan PA, Katyayan M, Kalavathy N. Prosthetic Rehabilitation of a Maxillofacial Defect in a Chondrosarcoma Patient. J Contemp Dent Pract 2011;12(5): 398-403.
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Guttal, Satyabodh S., Paras Vohra, Lekha K. Pillai, and Ramesh K. Nadiger. "Interim Prosthetic Rehabilitation of a Patient Following Partial Rhinectomy: A Clinical Report." European Journal of Dentistry 04, no. 04 (October 2010): 482–86. http://dx.doi.org/10.1055/s-0039-1697869.

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Surgical defects often have adverse effects on patient perception of esthetics and self-esteem. Rehabilitation of such surgical defects poses a challenge to the clinician. Presented here is a clinical report of an interim prosthetic rehabilitation of a patient who underwent partial rhinectomy for basal cell carcinoma. Nasal resection included part of the nasal septum, the entire cartilage, and the ala. An interim nasal prosthesis was fabricated for this patient 3 weeks after surgery, to provide early rehabilitation. This prosthesis provided a sociopsychological benefit to the patient, and the prosthesis was well tolerated. The spectacle glasses retained the prosthetic nose. (Eur J Dent 2010;4:482-486)
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Kayssoun, Ammar, and A. Nehir Ozden. "Conservative Prosthetic Rehabilitation." Journal of Medical - Clinical Research & Reviews 1, no. 1 (August 30, 2017): 1–3. http://dx.doi.org/10.33425/2639-944x.1007.

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Vander Poorten, Vincent, Jeroen Meulemans, and Pierre Delaere. "Midface prosthetic rehabilitation." Current Opinion in Otolaryngology & Head and Neck Surgery 24, no. 2 (April 2016): 98–109. http://dx.doi.org/10.1097/moo.0000000000000241.

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31

Garg, P., S. Garg, D. Bansal, and S. Suresh. "Prosthetic rehabilitation of a patient with enucleated eye - a case report." Nepalese Journal of Ophthalmology 4, no. 2 (July 26, 2012): 312–14. http://dx.doi.org/10.3126/nepjoph.v4i2.6550.

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Background: The loss of an eye has a crippling effect on the psychology of the patient, making rehabilitation process challenging for both doctor and patient. Objective: To report a case of anophthalmic socket with prosthetic rehabilitation in a cost effective manner. Case: A 32-year-old female presented with anophthalmic socket for prosthetic rehabilitation. A custom made ocular prosthesis was implanted successfully. Conclusion: The custom made ocular prosthesis is simple, affordable and can be carried out in a small clinical set-up and provides a superior natural appearance.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6550 Nepal J Ophthalmol 2012; 4 (2): 312-314
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Geethu, RM, S. Anilkumar, C. Rajesh, and Shashank Uniyal. "Prosthetic Rehabilitation of a Lateral Midfacial Defect Combined with Hemimandibulectomy using Multiple/Sectional Prosthesis." International Journal of Prosthodontics and Restorative Dentistry 4, no. 4 (2014): 131–37. http://dx.doi.org/10.5005/jp-journals-10019-1120.

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ABSTRACT Extraoral maxillofacial rehabilitation of patients with large midfacial defects has always perplexed the prosthodontist. Retention of such large facial prosthesis can be challenging due to its increased size and weight. This clinical report describes the technique of prosthetic rehabilitation of a patient with large midfacial defect using a hollow light-weight intraoral-extraoral combination prosthesis utilizing rare-earth magnets as a retention tool. This prosthesis dramatically improved the function, esthetics and comfort, thus, enabling him to lead a normal life. How to cite this article Geethu RM, Anilkumar S, Rajesh C, Uniyal S. Prosthetic Rehabilitation of a Lateral Midfacial Defect Combined with Hemimandibulectomy using Multiple/Sectional Prosthesis. Int J Prosthodont Restor Dent 2014;4(4):131-137.
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Biddiss, Elaine, Patricia McKeever, Sally Lindsay, and Tom Chau. "Implications of prosthesis funding structures on the use of prostheses: experiences of individuals with upper limb absence." Prosthetics and Orthotics International 35, no. 2 (April 19, 2011): 215–24. http://dx.doi.org/10.1177/0309364611401776.

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Background: While sparsely researched, funding structures may play an important role in use of and satisfaction with prostheses and related health services.Objectives: The objectives of this study were to (1) quantify the direct costs of prosthesis wear, (2) explore variations in funding distribution, and (3) describe the role of affordability in prosthesis selection and wear.Study design: An anonymous, online cross-sectional descriptive survey was administered.Methods: Analyses were conducted of qualitative and quantitative data extracted from an international sample of 242 individuals with upper limb absence.Results: Access to prosthesis funding was variable and fluctuated with age, level of limb absence and country of care. Of individuals who gave details on prosthetic costs, 63% ( n = 69) were fully reimbursed for their prosthetic expenses, while 37% ( n=40) were financially disadvantaged by the cost of components (mean [SD] US$9,574 [$9,986]) and their ongoing maintenance (US$1,936 [$3,179]). Of the 71 non-wearers in this study, 48% considered cost an influential factor in their decision not to adopt prosthesis use.Conclusions: Prosthesis funding is neither homogeneous nor transparent and can be influential in both the selection and use of a prosthetic device.Clinical relevanceInequitable access to prosthesis funding is evident in industrialized nations and may lead to prosthesis abandonment and/or diminished quality of life for individuals with upper limb absences. Increased efforts are required to ensure equitable access to upper limb prosthetics and related services in line with individuals’ needs.
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de Araújo Nobre, Miguel, Carlos Moura Guedes, Ricardo Almeida, António Silva, and Nuno Sereno. "Hybrid Polyetheretherketone (PEEK)–Acrylic Resin Prostheses and the All-on-4 Concept: A Full-Arch Implant-Supported Fixed Solution with 3 Years of Follow-Up." Journal of Clinical Medicine 9, no. 7 (July 10, 2020): 2187. http://dx.doi.org/10.3390/jcm9072187.

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Background: The aim of this three-year prospective study was to examine the outcome of a solution for full-arch rehabilitation through a fixed implant-supported hybrid prosthesis (polyetheretherketone (PEEK)-acrylic resin) used in conjunction with the All-on-4 concept. Methods: Thirty-seven patients (29 females, 8 males), with an age range of 38 to 78 years (average: 59.8 years) were rehabilitated with 49 full-arch implant-supported prostheses (12 maxillary rehabilitations, 13 mandibular rehabilitations and 12 bimaxillary rehabilitations). The primary outcome measure was prosthetic survival. Secondary outcome measures were marginal bone loss, plaque and bleeding scores, veneer adhesion issues, biological complications, mechanical complications, and the patients’ subjective evaluation. Results: There were two patients (maxillary rehabilitations) lost to follow-up, while one patient withdrew (maxillary rehabilitation). One patient with bimaxillary rehabilitation fractured the mandibular PEEK framework, rendering a 98% prosthetic survival rate. Implant survival was 100%. Average (standard deviation) marginal bone loss at 3-years was 0.40 mm (0.73 mm). Veneer adhesion was the only technical complication (n = 8 patients), resolved for all patients. Nine patients (n = 11 prostheses) experienced mechanical complications (all resolved): fracture of acrylic resin crowns (n = 3 patients), prosthetic and abutment screw loosening (n = 4 patients and 3 patients, respectively), abutment wearing (n = 1 patient). One patient experienced a biological complication (peri-implant pathology), resolved through non-surgical therapy. A 90% satisfaction rate was registered for the patients’ subjective evaluation. Conclusions: Based on the results, the three-year outcome suggests the proposed rehabilitation solution as a legitimate treatment option, providing a potential shock-absorbing alternative that could benefit the implant biological outcome.
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Glemne, Maria, Nerrolyn Ramstrand, Jessica Crafoord, and Linus Nygren. "Preoperative characteristics and functional outcomes of lower limb amputees treated at Southern Älvsborg Hospital, Sweden." Prosthetics and Orthotics International 37, no. 4 (January 2, 2013): 298–304. http://dx.doi.org/10.1177/0309364612469524.

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Background:Within the prosthetics profession, there is a lack of evidence to support many clinical practices. It is therefore important that clinicians systematically document and evaluate their daily practices.Objectives:To record preoperative characteristics and functional outcomes for patients with a lower limb amputation and to investigate variations between prosthetic users and non-prosthetic users.Study Design:Prospective cohort study.Methods:A total of 23 patients (mean age = 80 years, standard deviation = 7.3) who underwent a major lower limb amputation were assessed within 2 weeks of admission and 6 months post-operatively. Locomotor Capabilities Index-5, the Timed-Up-and-Go Test and prosthetic use were used to evaluate functional outcomes.Results:A total of 13 participants (57%) received a prosthesis within 6 months of amputation. Mean time to prosthetic fitting was 48 days (range = 28–97). No statistically significant difference was found between prosthetic users and non-prosthetic users regarding age, time to rehabilitation and Locomotor Capabilities Index-5 (p > 0.05). Locomotor Capabilities Index-5 basic was significantly lower at 6 months than prior to amputation (p = 0.039).Conclusion:The functional outcome at 6 months indicates a sizable restriction in mobility among lower limb amputees. No variation in preoperative characteristics between prosthetic users and non-prosthetic users could be confirmed in this study.Clinical relevanceThis study highlights the need for prosthetists to better incorporate research findings into their daily practice and presents an example of how to implement a procedure for assessment and documentation of patients’ functional outcomes in a clinical setting. Results confirm difficulties in identifying amputees who will become prosthetic users based on preoperative characteristics.
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Fallahian, Nader, Hassan Saeedi, Hamidreza Mokhtarinia, and Farhad Tabatabai Ghomshe. "Sensory feedback add-on for upper-limb prostheses." Prosthetics and Orthotics International 41, no. 3 (December 2016): 314–17. http://dx.doi.org/10.1177/0309364616677653.

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Background and aim:Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses.Technique:A sensory feedback system was tested on a below-elbow myoelectric prosthesis. The aim was to have the amputee grasp fragile objects without crushing while other accidental feedback sources were blocked.Discussion:A total of 8 successful trials (out of 10) showed that sensory feedback system decreased the amputee’s visual dependency by improving awareness of his prosthesis. Sensory feedback system can be used either as post-fabrication (prosthetic add-on option) or para-fabrication (incorporated into prosthetic design). The use of these direct feedback systems can be explored with a current prosthesis before ordering new high-tech prosthesis.Clinical relevanceThis technical note introduces the first attach/detach-able sensory feedback system that can simply be added to in-use (myo)electric prosthesis, with no obligation to change prosthesis design or components.
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Ju, Naan, Kyu-Hye Lee, Myoung-Ok Kim, and Youngjin Choi. "A User-Driven Approach to Prosthetic Upper Limb Development in Korea." Healthcare 9, no. 7 (July 2, 2021): 839. http://dx.doi.org/10.3390/healthcare9070839.

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Despite recent significant advances in technology and medicine, the number of patients who undergo amputation of body parts for various reasons continues to increase. Assistive devices such as prosthetic arms can enable limited activities in upper limb amputees and improve their quality of life. This study aims to help in the development of user-centered prosthetics by identifying user requirements and key considerations during selection of prosthetics. This study conducted a questionnaire survey after obtaining prior consent for persons with disabilities with upper limb amputation who visited orthosis companies, rehabilitation centers for the disabled, veteran’s hospitals, and labor welfare corporations. A modified questionnaire was conducted to upper limb prosthetic users and results were analysed using descriptive statistics and t-test. Results of the study showed that the main reasons for discontinuing the use of prosthetics were discomfort (discomfort in wear, weight, and difficulty of detachment) and complaints regarding design and function. Regardless of the prosthesis type, the color and design of the prosthesis were key considerations in prosthesis choices. Respondents indicated that they needed various prostheses designed according to the purpose and situation, such as for sports like golf and cycling as well as everyday use. Most of the respondents answered that buttoning shirts, tying knots, and using chopsticks were challenging or impossible to do on their own. Based on the results of this study, the quality of life of upper limb amputees can be improved if a prosthetic arm with various functions that can satisfy both the user’s needs and wants is developed.
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Safari, Reza. "Lower limb prosthetic interfaces: Clinical and technological advancement and potential future direction." Prosthetics and Orthotics International 44, no. 6 (November 8, 2020): 384–401. http://dx.doi.org/10.1177/0309364620969226.

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The human–prosthesis interface is one of the most complicated challenges facing the field of prosthetics, despite substantive investments in research and development by researchers and clinicians around the world. The journal of the International Society for Prosthetics and Orthotics, Prosthetics and Orthotics International, has contributed substantively to the growing body of knowledge on this topic. In celebrating the 50th anniversary of the International Society for Prosthetics and Orthotics, this narrative review aims to explore how human–prosthesis interfaces have changed over the last five decades; how research has contributed to an understanding of interface mechanics; how clinical practice has been informed as a result; and what might be potential future directions. Studies reporting on comparison, design, manufacturing and evaluation of lower limb prosthetic sockets, and osseointegration were considered. This review demonstrates that, over the last 50 years, clinical research has improved our understanding of socket designs and their effects; however, high-quality research is still needed. In particular, there have been advances in the development of volume and thermal control mechanisms with a few designs having the potential for clinical application. Similarly, advances in sensing technology, soft tissue quantification techniques, computing technology, and additive manufacturing are moving towards enabling automated, data-driven manufacturing of sockets. In people who are unable to use a prosthetic socket, osseointegration provides a functional solution not available 50 years ago. Furthermore, osseointegration has the potential to facilitate neuromuscular integration. Despite these advances, further improvement in mechanical features of implants, and infection control and prevention are needed.
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Jamayet, Nafij Bin, John Kariuki Kirangi, Adam Husein, and Mohammad Khursheed Alam. "A comparative assessment of prosthetic outcome on enucleation and evisceration in three different etiological eye defects: A case series." European Journal of Dentistry 11, no. 01 (January 2017): 130–34. http://dx.doi.org/10.4103/1305-7456.202636.

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ABSTRACTEnucleation and evisceration are the most common surgical procedures that are performed to manage tumor, trauma, and infection. Given the consequences of surgical intervention, the conditions of the remaining eye socket may affect future prosthetic rehabilitation. A custom-made ocular prosthesis can be used to help restore the esthetics and functional defects and to improve the quality of life of patients with such conditions. An assessment must be performed on the prosthetic outcome before rehabilitation. The etiology of defect, type of surgery, condition of the remaining socket, and patient's age should all be considered. This report discusses three different etiological eye defects that have undergone enucleation and evisceration and describes the factors that have a significant role in the esthetic and functional outcome of the prosthesis. This report should serve as a helpful aid for maxillofacial prosthodontists to understand the primary objective of rehabilitating each eye defect and to meet patient expectations.
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BORGES, Adriana Fonseca, Mariana Ribeiro de Moraes REGO, Alexandre Milton CORRÊA, Marcelo Ferreira TORRES, Daniel de Moraes TELLES, and Luiz Carlos SANTIAGO. "Planning and treatment in oral rehabilitation with implant-supported prostheses using cephalometric analysis." RGO - Revista Gaúcha de Odontologia 62, no. 2 (June 2014): 179–84. http://dx.doi.org/10.1590/1981-86372014000200000131886.

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There are growing prosthetic and esthetic demands for Oral Rehabilitations on osseointegratable implants, requiring precise prosthetic-surgical planning. In edentulous patients planning may be done using cephalometric analysis to determine the position of the teeth in the dental prosthesis, and consequently, those of the implants. In this clinical case, the planning and treatment of an oral implant-supported rehabilitation is described, using cephalometry to optimize prosthetic success and patient comfort. The patient presented complete mandibular and partial maxillary edentulism, with unsatisfactory esthetics and function of the anterior teeth, with accentuated vestibular inclination. In order to determine the correct position of maxillary teeth it was necessary to use a Steiner cephalometric tracing to position the maxillary central incisor in the diagnostic wax-up. Therefore, the maxillary anterior teeth were extracted, osseointegratable implants were placed (Neodent(r), Curitiba, Brazil), and an immediate temporary fixed denture was inserted. After 30 days, surgery was performed for the placement of 4 osseointegratable implants (Neodent(r), Curitiba, Brazil) in the inter-mentonian region, on which a complete, temporary, implant-supported denture was placed. After the period of osseointegration, the definitive implant-supported dental prosthesis were fabricated.
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Suresh, A. M. R., Dimple Kashyap, and Tapas Priyaranjan Behera. "Effect of Pre-Prosthetic Training in Balance and Prosthetic Performance in Traumatic Unilateral Trans-Femoral Prosthesis Users in the Age Group of 20-40 Years." International Journal of Health Sciences and Research 11, no. 8 (August 6, 2021): 91–101. http://dx.doi.org/10.52403/ijhsr.20210814.

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Background: Amputation at the trans-femoral level can be very challenging for the amputee as well for the surgeon, the prosthetist, the physical therapist. Learning to walk after a trans-femoral amputation is many times harder than learning to walk after a trans-tibial amputation. The trans-femoral amputee not only has to learn to use a prosthetic knee but also must learn to coordinate the interaction of the foot components with the prosthetic knee, which requires more mental energy. The trans-femoral amputee has more difficulty with balance and decreased proprioception and therefore a greater risk and greater fear of falling. For these reasons, the rehabilitation process is much more difficult for the trans-femoral amputee. The physical therapist must also know how to train the patient to function in all mobility situations, and must also be familiar with issues that are relevant to amputees need. Objective: The purpose of the study is to assess of effectiveness of pre-prosthetic training methods in balance and functional outcomes in new trans-femoral prosthetic users. Method: A randomized controlled study with 27 subjects had been recruited on the basis of inclusion criteria and divided into two groups. Group A (N=15, old trans-femoral prosthetic user) using their prosthesis for at least one year regularly for their daily routine as an active community walker and Group B (N=12, first time trans-femoral prosthetic user) and the amputation was a result of trauma with their first trial prosthesis for conventional gait training after the departmental protocol of pre-prosthetic stump conditioning were assessed on the four Performance Oriented Balance and Prosthetic Mobility scales, i.e. TUG, FSST, Cadence and AMP Tool and the pre and post GT and comparison of performance between old and new AK prosthesis users were analysed using paired t test for significance. Results: The pre and post GT has a statistically significant difference in TUG, FSST, cadence and AMP score at p<0.000. When compared between groups; Group A (old) and Group B (new AK) there is a statistically significant difference in the mean performance of TUG and AMP scores at p<.05, however no difference was found between FSST and Cadence. Conclusion: Pre-prosthetic stump conditioning and conventional gait training has an important role in improving the overall balance and functional outcome of the amputee after the prosthetic fitting. Need specific pre-prosthetic training and conventional gait training shall be a part of the comprehensive trans-femoral amputation rehabilitation. Key words: Amputation, gait, exercise, artificial limb, prosthesis, lower limb amputation, physical balance.
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Seçilmiş, Aslı, and A. Nilgün Öztürk. "Nasal Prosthesis Rehabilitation after Partial Rhinectomy: A Clinical Report." European Journal of Dentistry 01, no. 02 (April 2007): 115–18. http://dx.doi.org/10.1055/s-0039-1698324.

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ABSTRACTFacial defects resulting from neoplasms, congenital malformations, or trauma can be restorated with facial prostheses using different materials and retention methods to achieve a lifelike look and function. For the successful result, a lot of factors as harmony, texture, color matching, and blending of tissue interface of prosthesis is important. This clinical report describes treatment using a silicone prosthesis with a mechanical - retentined design for a patient who received a partial rhinectomy. Defects resulting from diseases as squamous cell carcinoma can be managed with the prosthetic rehabilitation so that the patient more comfortably and confidently resumed regular daily activity. Mechanical retention alone was sufficient to retain the prosthesis; thus, prosthetic adhesives were not necessary. (Eur J Dent 2007;2:115-118)
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Borgonovo, Andrea E., Simone L. M. Galbiati, and Dino Re. "Trefoil System for the Treatment of Mandibular Edentulism: A Case Report with 30 Months Follow-Up." Case Reports in Dentistry 2020 (October 17, 2020): 1–6. http://dx.doi.org/10.1155/2020/8845649.

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The purpose of this work is to describe a clinical case of full-arch mandible rehabilitation with a fixed prosthesis on three implants. The chosen protocol is the Trefoil system by Nobel (Nobel Biocare, Zurich, Switzerland) that allows to realize a mandibular fixed rehabilitation on three particularly designed fixtures through the use of prefabricated surgical guides and a preassembled bar on which the prosthesis is built. Both surgical and prosthetic procedures were completed without complications, and after 30 months, the rehabilitations are in good health conditions. The patient is able to maintain a good level of hygiene and is satisfied with the work from an aesthetic and functional point of view.
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Verigo, Elena N., and P. V. Makarov. "Prosthetics in complex medical and social rehabilitation of patients with ocular pathology." Medical and Social Expert Evaluation and Rehabilitation 19, no. 4 (December 15, 2016): 182–85. http://dx.doi.org/10.18821/1560-9537-2016-19-4-182-185.

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There is presented an analysis of results of observations in patients underwent different ocular prosthetic procedures: 152 patients with keratoprosthesis; 5456 cases with congenital or acquired anophthalmia, microphthalmus and ocular subatrophy with ocular prosthesis and 63 patients with ecto prosthesis. There are considered clinical, organization and legal aspects of indications for different prosthetic procedures, possible complications and their prevention. There was determined the role ofprosthetics in rehabilitation and medico-social adaptation in patients with severe ocular pathology which helps to improve the quality of life and rehabilitation ofpatients in dependence on their age, kind of the occupational activity and psychosomatic state.
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Sverzut, Cassio Edvard, Alexandre Elias Trivellato, Alexander Tadeu Sverzut, Aníbal Henrique Barbosa Luna, Thiago Iafelice dos Santos, and Cassio de Barros Pontes. "Rehabilitation of severely resorbed edentulous mandible using the modified visor osteotomy technique." Brazilian Dental Journal 20, no. 5 (2009): 419–23. http://dx.doi.org/10.1590/s0103-64402009000500011.

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The prosthetic rehabilitation of an atrophic mandible is usually unsatisfactory due to the lack of support tissues, mainly bone and keratinized mucosa for treatment with osseointegrated implants or even conventional prosthesis. The prosthetic instability leads to social and functional limitations and chronic physical trauma decreasing the patient's quality of life. A 53-year-old female patient sought care at our surgical service complaining of impairment of her masticatory function associated with the instability of the lower total prosthetic denture. The clinical and complementary exams revealed edentulism in both arches, while the mandibular arch presented severe reabsorption resulting in denture instability and chronic trauma to the oral mucosa. The proposed treatment plan consisted in the mandibular rehabilitation with osseointegrated implants and fixed Brånemark's protocol prosthesis after mandibular reconstruction applying the modified visor osteotomy technique. The proposed technique offered predictable results for reconstruction of the severely resorbed edentulous mandible and posterior rehabilitation with osseointegrated implants.
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Eshraghi, Arezoo, Noor Azuan Abu Osman, Hossein Gholizadeh, Mohammad Karimi, and Sadeeq Ali. "Pistoning assessment in lower limb prosthetic sockets." Prosthetics and Orthotics International 36, no. 1 (January 22, 2012): 15–24. http://dx.doi.org/10.1177/0309364611431625.

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Background: One of the main indicators of the suspension system efficiency in lower limb prostheses is vertical displacement or pistoning within the socket. Decreasing pistoning and introducing an effective system for evaluating pistoning could contribute to the amputees’ rehabilitation process.Objectives: The main objective of this study was to review existing research studies that examine the occurrence of pistoning in lower limb prosthesis with different techniques in static (standing) and dynamic (walking and jumping) positions.Study Design: Literature review.Methods: Keywords related to slippage, suspension, pistoning and vertical movement in lower limb prosthetics were used to search the literature available in PubMed, ScienceDirect, Web of Science and Google Scholar databases. Sixteen articles were selected for further analysis according to the selection criteria.Results: The following methods have been used to measure the occurrence of pistoning in prosthetic limbs: radiological methods, photographic technique, motion analysis system, sensor and spiral computerized tomography (CT). Pistoning was measured both in standing and walking.Conclusions: The results of this review reveal that further research is needed to develop and evaluate easy, accurate and safe methods of measuring pistoning. Future studies should provide a gold standard for the acceptable range of pistoning in a prosthetic socket.Clinical relevanceThis literature review contributes to a further understanding of lower limb prosthetic biomechanics by highlighting the strengths and weaknesses of the techniques that are currently available for evaluating the occurrence of pistoning in a prosthetic socket. It provides a useful overview of the current methods of measuring residual limb movements relative to the socket and liner, and will be of use for both practitioners and researchers in prosthetics and orthotics fields.
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Hansen, Andrew. "Effects of Alignment on the Roll-Over Shapes of Prosthetic Feet." Prosthetics and Orthotics International 32, no. 4 (January 2008): 390–402. http://dx.doi.org/10.1080/03093640802366158.

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Recent work suggests that a prosthetic ankle-foot component's roll-over shape – the effective rocker it conforms to between initial contact and opposite initial contact (the ‘roll-over’ interval of walking) – is closely linked to its final alignment in the prosthesis (as determined by a skilled prosthetist using heuristic techniques). If true, this information may help to determine the appropriate alignment for a lower limb prosthesis before it is built, or a priori. Knowledge is needed for future models that will incorporate the roll-over shape including the relative effect of alignment on the roll-over shape's radius of curvature and arc length. The purpose of this study was to evaluate the hypotheses that: (i) Changes in prosthesis alignment alter the position and orientation of a foot's roll-over shape in prosthesis-based coordinates, and (ii) these changes occur without changing the radius of curvature or arc length of the roll-over shape. To examine the hypotheses, this study examined the effects of nine alignment settings on the roll-over shapes of two prosthetic feet. The idea that alignment changes move and rotate roll-over shapes of prosthetic feet in prosthesis coordinates is supported by this work, but the hypothesis that the radius of curvature and arc length do not change for different alignments is not strongly supported by the data. A revised approach is presented that explains some of the changes to the roll-over shape parameters due to changes in rotational alignment.
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Linde, H. Van Der, J. H. B. Geertzen, C. J. Hofstad, J. Van Limbeek, and K. Postema. "Prosthetic prescription in the Netherlands: An interview with clinical experts." Prosthetics and Orthotics International 28, no. 2 (August 2004): 98–104. http://dx.doi.org/10.1080/03093640408726694.

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In the process of guideline development for prosthetic prescription in the Netherlands the authors made a study of the daily clinical practice of lower limb prosthetics. Besides the evidence-based knowledge from literature the more implicit knowledge from clinical experts is of importance for guideline development. In order to obtain this information the authors performed both an observational study of clinical practice and an interview study with 11 clinical experts from the three key disciplines in this field. The latter study is presented here as a descriptive and qualitative study. The combination of the opinions on prescription criteria given in these semi-structured interviews appeared divided with regard to various options in the prescription of a lower limb prosthesis. However, the implicit knowledge is considered by the authors of importance for the consensus procedure on guideline development. Prosthetic prescription criteria seem to be based on local experience and partly on assumptions. A consensus procedure can lead to improvement of the knowledge about prosthetic prescription.
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Kumar, Yogesh, Vinayak Bharate, Dinesh Babu, and Chandralekha Verma. "Prosthetic Rehabilitation of Continuous Maxillary and Orbital Defect." International Journal of Prosthodontics and Restorative Dentistry 7, no. 2 (2017): 77–80. http://dx.doi.org/10.5005/jp-journals-10019-1181.

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ABSTRACT Orbital exenteration along with hemimaxillectomy for malignant tumor of maxilla usually results in continuous orbital and maxillary defect. A removable maxillofacial prosthesis with adequate retention and stability during functional movement along with good esthetics is the key for successful rehabilitation of such patients. This case report describes a novel and yet cost-effective method for retention of silicone orbital prosthesis using acrylic resin base attached to maxillary obturator using pin and socket of an electric plug which results in better retention of both the prosthesis. How to cite this article Kumar Y, Bharate V, Babu D, Verma C. Prosthetic Rehabilitation of Continuous Maxillary and Orbital Defect. Int J Prosthodont Restor Dent 2017;7(2):77-80.
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Roeschlein, R. A., and E. Domholdt. "Factors related to successful upper extremity prosthetic use." Prosthetics and Orthotics International 13, no. 1 (April 1989): 14–18. http://dx.doi.org/10.3109/03093648909079404.

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Surveys from 40 upper extremity amputees were analyzed to examine factors related to successful use of an upper extremity prosthesis. Factors which were associated with successful rehabilitation were fewer than two complicating factors, completion of high school education, employment at both the time of amputation and review, rapid return to work, acceptance of the amputation by the time of this review, and perception that the prosthesis was expensive. Factors which appeared unrelated to prosthetic success were age, loss of dominant hand, loss of elbow, marital status, use of rehabilitation services, use of a temporary prosthesis, and whether training in prosthetic use was provided. Many of these factors concurred with earlier studies. Previously unreported factors that may be of importance to the long-term success of upper limb amputees are the number of complicating factors and perceptions about the monetary value of the prosthesis.
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