COMPARISON OF A SIMPLE AND CHEAP IMMEDIATE POSTOPERATIVE PROSTHESIS WITH SOFT DRESSING IN LOWER LIMB AMPUTATIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 36
Abstract
BACKGROUND Removal of a part of a limb through one or more bones termed amputation is done for various causes. Properly performed amputation is a reconstructive procedure. Effective postoperative rehabilitation reduces disability and helps in proper shaping of the residual limb leading to final prosthetic fitment. The aim of the study is to compare effect of rigid dressing and Immediate Postoperative Prosthesis (IPOP) using a simple and cheap pylon developed by the first author with soft dressing in respect of stump maturation and function in lower limb amputees. MATERIALS AND METHODS Fifty one patients with lower limb amputations were included in the study and randomised into two groups. Twenty four patients completed follow-up in the study group of rigid dressing with early postoperative prosthetic fitting while twenty patients completed with soft dressing. Stump maturation as measured by girth and volumetric assessment and complications of residual pain and phantom pain were compared at six weeks and twelve weeks with baseline data. Statistical Analysis- Done with SPSS for Windows version 17. Independent-T test was used for comparison of continuous variables and Chi-square and Fischer exact test was used for comparison of dichotomous responses. Settings and Design- The study was done in a multispecialty teaching hospital of a metro city. It was a well-structured comparative study done after addressing all safety and ethical issues. RESULTS Stump maturation was significantly better and the stump complications reduced in the study group. CONCLUSION Rigid dressing with IPOP has proven to be significantly superior to soft dressing in terms of maturation of stump and residual complications in lower limb amputations.
Authors and Affiliations
Shashank Yeshwant Kothari, Rajendra Sharma, Unmesh Sabnis
Keywords
Related Articles
- EP ID EP219071
- DOI 10.18410/jebmh/2017/428
- Views 82
- Downloads 0
EVALUATION OF OCULAR PROFILE OF PATIENTS WITH PSEUDOEXFOLIATION SYNDROME IN A TERTIARY EYE CARE CENTER IN WEST BENGAL
BACKGROUND Pseudoexfoliation Syndrome (PEX) is characterized by the deposition of a distinctive fibrillar material on the lens capsule, pupillary margin, iris, ciliary body and subconjunctival tissue and has also been id...
MYOINOSITOL IN PCOS
Medical treatments for PCOS are usually aimed at improving the clinical, endocrine and metabolic effects of this disease. A combination of hormonal contraceptives, progestins, insulin sensitizing agents and statins is ef...
A COMPARATIVE STUDY OF RECONSTRUCTION OF CHRONIC TENDO ACHILLES RUPTURE WITH FLEXOR HALLUCIS LONGUS AND PERONEUS BREVIS
BACKGROUND Chronic rupture of the tendo Achilles is debilitating and difficult to treat, as there is usually a gap between the tendon ruptured ends, and also due to scarring and retraction of the tendon ends. Surgical re...
ELECTROCARDIOGRAPHIC AND ECHOCARDIOGRAPHIC PROFILE OF PATIENTS WITH DILATED CARDIOMYOPATHY: A CROSS SECTIONAL STUDY
BACKGROUND The burden of cardiomyopathy in the Indian population is huge. The prevalence of heart failure is about 1 to 1.5% of the adult population. The incidence of DCM is reported to be 5 to 8 cases per 1,00,000 popul...
DEPARTMENTAL EXERCISE BASED ON MICROTEACHING AND ITS UTILITY IN PERSONAL TEACHING SKILL DEVELOPMENT OF TRAINEE TEACHERS
Microteaching is a scaled down teaching encounter in class size and time. The word micro is emphasized to imply that there is reduction in both size and duration of class. It is aimed at practicing one particular teachin...