Surgery as related to prosthetics and orthotics.
نویسنده
چکیده
The single greatest obstacle to progress in amputation surgery has been the surgeon's lack of prosthetic knowledge . While a small number of surgeons throughout the years have become involved and, in fact, have made significant contributions to prosthetic improvements, the vast majority of amputations continue to be performed by surgeons uninformed in the area of prosthetic rehabilitation . This circumstance does not prevail in other areas of surgery where assistive mechanical devices used to restore function are generally well understood by the attending surgeon. In the years since World War II, prosthetic engineering and design have improved dramatically . Of late, the prosthetist, as a member of the amputee team, turns hopefully to the surgeon, seeking more functional and physiological stumps. The accepted practice of so often fitting the prosthesis to a difficult, inadequate stump is questioned. This questioning is beneficially influencing surgeons to review and upgrade amputation techniques, Immediate postsurgical prosthetic fitting has also influenced the amputation surgeon (1) . Prosthetic replacement of basic lost function here becomes a part of the surgical procedure . The surgeon can now relate directly to prosthetic rehabilitation beginning at the time of surgical limb loss . The amputation now becomes reconstructive, for not only is the limb removed, but also a terminal, functihnal end-organ is created to accept and control the substitute part . This surgical approach dictates full conservation of stump tissues and relates direclty to prosthetic use . The amputation must respect the gentleness and technical finesse associated with reconstructive surgery of the hand or foot. Coincident with these changing attitudes, the amputation has now moved into the main stream of surgical interest and research . The last authoritative atlas of amputations in English was published by Slocum
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ورودعنوان ژورنال:
- Bulletin of prosthetics research
دوره شماره
صفحات -
تاریخ انتشار 1974