Publications by authors named "Shakib Al-Jawazneh"

Article Synopsis
  • Lower-extremity amputations are commonly caused by complications from diabetes mellitus and peripheral vascular disease, with traditional socket prostheses being the standard, while transcutaneous osseointegration for amputees (TOFA) is emerging as a potential alternative, particularly needing research for diabetic patients.* -
  • A study reviewed 17 patients with well-controlled diabetes who underwent unilateral transfemoral TOFA, tracking perioperative complications, additional surgeries, mobility, and quality of life over two years, finding no major systemic complications or deaths.* -
  • Results indicated that some patients experienced minor complications, but the majority showed significant improvements, such as an increase in daily prosthesis wear time from 36% to 79% of patients wearing it
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Importance: Most patients use a traditional socket prosthesis (TSP) to ambulate independently following transtibial amputation. However, these patients generally require prosthesis repairs more than twice annually and an entirely new prosthesis every two years. Furthermore, transtibial amputation patients have four times the skin ulceration rate of transfemoral patients, prompting more frequent prosthesis refitting and diminished use.

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Unlabelled: The management of peripheral vascular disease (PVD) can require amputation. Osseointegration surgery is an emerging rehabilitation strategy for amputees. In this study, we report on 6 patients who had PVD requiring transtibial amputation (PVD-TTA) and either simultaneous or subsequent osseointegration (PVD-TTOI).

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Article Synopsis
  • * Post-surgery, two patients achieved independent walking, while the third still needs crutches due to nerve complications.
  • * The study suggests that osseointegration is a promising option to enhance recovery and rehabilitation for those with CRPS1 after amputation.
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Introduction: Lower extremity amputation uniformly impairs a person's vocational, social and recreational capacity. Rehabilitation in traditional socket prostheses (TSP) is associated with a spectrum of complications involving the socket-residuum interface which lead to reduced prosthetic use and quality of life. Osseointegration has recently emerged as a novel concept to overcome these complications by eliminating this interface and anchoring the prosthesis directly to bone.

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