introduction: transtibial amputation is the most common amputation in lower limbs. volume loss of residual limb occurs during daily use of prostheses, which results in pistoning between residual limb and prosthetic socket. the goal of this study was to design and fabricate a pneumatic suspension system in transtibial supracondylar prostheses and to evaluate its effect on residual limb pistoning...

OBJECTIVES The purpose of this study was to determine the prevalence and severity of paravalvular regurgitation (PVR) in the Artificial Valve Endocarditis Reduction Trial (AVERT) cohort. BACKGROUND The initial AVERT cohort consisted of 807 patients randomized to receive either a Silzone-coated prosthetic valve or a conventional prosthetic valve; early clinical reports showed higher rates of v...

Total Hip Replacement is a method of prosthetic reconstruction of the acetabulum and proximal femur following hip joint destruction. Prosthetic fractures have been reported after primary surgery ; with majority of them at the prosthetic stem. Few had fracture through neck of prosthetic stem. Here, we report a rare case of fracture neck of prosthetic stem within 10 year of implantation in a pati...

Introduction.Listeria monocytogenes is an uncommon cause of prosthetic valve endocarditis (PVE). Recommended antimicrobial therapy typically includes intravenous β-lactams with or without synergistic aminoglycosides. In vitro studies have previously identified antagonism when rifampicin has been used in combination with β-lactams. However, in vivo data of rifampicin use are limited despite its ...

Two cases of Bartonella prosthetic valve endocarditis were cured when treated for 2 weeks with gentamicin and 3 months with doxycycline. Clinical cure correlated with decreased Bartonella antibody titers. This report suggests a strategy to monitor, treat, and cure Bartonella prosthetic valve endocarditis.

Enterococcus hirae, a gram-positive bacterium, is a rare isolate in clinical specimens. We report an unusual case of a relapse of prosthetic valve endocarditis due to E. hirae 6 months after the initial episode. Clonal relationship was proven by genomic analysis.

Prosthetic valve endocarditis occurs in 2-4% of patients with prosthetic valves and carries a mortality of around 50%. A low index of suspicion should enable early diagnosis. The empirical use of antibiotics in patients with a prosthetic valve who develop an unexplained fever is inappropriate. Careful liaison between cardiologist, microbiologist and cardiac surgeon is essential for optimal mana...

Transesophageal echocardiography (TEE) is especially suitable for examination of prosthetic valves because of the proximity of the esophagus to the heart and absence of interference with lungs and ribs. This article reviews normal and abnormal morphologic characteristics of prosthetic valves such as spontaneous echocontrast, microbubbles, strands, sutures, vegetations or thrombus. Doppler echoc...

A 64-year-old woman with a mechanical mitral valve prosthesis developed late-onset Candida endocarditis. Blood cultures grew Candida glabrata and Candida krusei. Transesophageal echocardiography demonstrated vegetations on the valve. The patient was not medically fit for valve replacement, but her condition was successfully treated with 6 weeks of intravenous caspofungin therapy.

INTRODUCTION HAND AMPUTATIONS Hand Amputations and Reconstruction Hand Rehabilitation Hand Prosthetic Devices NOMENCLATURE AND FUNCTIONAL LEVELS PRINCIPLES OF AMPUTATION SURGERY REHABILITATION Early Rehabilitation Postoperative Prosthetic Fitting Activities of Daily Living BELOW ELBOW PROSTHESES Prosthetic Sockets Terminal Devices and Wrist Units Suspension and Control ABOVE-ELBOW PROSTHESES HU...