Clinical applications of the Veterans Administration prosthetics center Patellar-Tendon-Bearing brace.
نویسنده
چکیده
' Assistant Executive Director, Committee on Prosthetics Research and Development, National Research Council—National Academy of Sciences. This paper is a revision of Report E-2, which was prepared on behalf of the Subcommittee on Evaluation, CPRD. The study was supported by Contract SRS-70-11 between the Social and Rehabilitation Service and the National Academy of Sciences. AN CERTAIN pathological conditions of the lower extremity, the stress of weightbearing cannot be tolerated because of pain or the possibility of actual tissue damage. Pathologies encountered in such situations fall into three broad categories: (1) those affecting bone—delayed unions or nonunions of fractures; (2) those involving the ankle or foot joints, such as traumatic arthritis or similar conditions; and (3) those involving the soft tissue, such as ulcers and traumatic loss of the heel pad or other soft tissues. In these circumstances, bracing is frequently used as an aid to management, the brace serving as a weight-bearing device to relieve the skin-muscle-bone complex of intolerable stresses. Historically, the application of a brace to unweight the lower extremity has involved provision for support of the body weight at the level of the pelvis, typically some form of ischial weight-bearing. A variable proportion of body weight is then transmitted to the ground through side bars and a locked knee. This type of brace is inherently disadvantageous because of its bulk and because the locked knee imposes a stiff-legged gait which increases energy costs. In situations where the pathology is located above the knee, avoidance of these disadvantages may be impossible. However, in selected below-knee lesions, a brace which bears weight about the knee (like the patellar-tendon-bearing prosthesis) appears not only desirable but pos-
منابع مشابه
Application of the Veterans Administration Prosthetics Center below-knee, weight-bearing brace to a bilateral case.
1 1 Based upon a recent study at the Veterans Administration Prosthetics Center. Administration Brooklyn Outpatient Clinic, who suggested that his patient "be fitted as a below-knee amputee." The Veterans Administration has many beneficiaries who suffer from an inability to bear weight on their feet. Etiologies include gunshot wounds, crushing injuries, painful ankylosis, arthritis, and other c...
متن کاملSome experience with patellar-tendon-bearing below-knee prostheses.
AN THE latter part of 1958, prothetists of the Limb and Brace Section of the U. S. Veterans Administration Prosthetics Center, New York City, were indoctrinated in the technique of fabricating the patellar-tendon-bearing (PTB) cuff-suspension below-knee prosthesis. Preliminary experience encouraged VAPC to institute in the spring of 1959 a form of clinical study. Selection of the patients fitte...
متن کاملConservative treatment of Charcot artroparthy in a series of spina bifida patients: the experience of one center and review of the literature.
The present study was performed to evaluate the use of patellar tendon-bearing ankle foot orthesis for the treatment of Charcot arthropathy in a series of patients with spina bifida. A cohort of 350 spina bifida patients, ages ranging between 12 months and 22 years were evaluated in our clinic between June 1993 and March 2004. Charcot arthropathy was seen in five of these children. Treatment wa...
متن کاملSimultaneous bilateral rupture of patellar tendons in diabetic hemodialysis patient: A case report
Background: Bilateral rupture of the patellar tendon is a very rare injury, which takes place in relation to chronic systemic diseases. These injuries are known causes. Some of these causes are particular in patellar tendon rupture and another are in quadriceps tendon rupture. Case presentation: 70-year-old diabetic man with simultaneous bilateral patellar tendon disruption of proximal inser...
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ورودعنوان ژورنال:
- Artificial limbs
دوره 15 1 شماره
صفحات -
تاریخ انتشار 1971