We measured radiographically the polyethylene socket wear in 34 hip prostheses with a 32 mm Al2O3-ceramic head with a rotating bearing and in 37 prostheses with a "fixed" ceramic head. The mean follow-up was 12 years in both groups. The mean annual linear wear of the polyethylene was 0.034 and 0.069 mm, respectively, (Mann-Whitney U-test p < 0.0001) in the "rotation" and the "fixed" group. A rotating bearing between the head and neck in a modular total hip system seems to reduce socket wear as compared to fixed taper junctions.
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http://dx.doi.org/10.3109/17453679809000924 | DOI Listing |
Prosthet Orthot Int
December 2024
Health Systems Science, The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
Background: Iterative design and modification are used to manufacture lower limb prosthetic sockets that meet users' needs while also fulfilling safety and mobility criteria. Greater understanding of the expectations of prosthesis users regarding prosthetic fit as well as their experiences at the time of socket fitting is needed.
Objectives: Describe lower limb prosthesis user perceptions and experiences of socket comfort and discomfort during their last fitting and compare this to their expectations for a perfectly fitting socket and their satisfaction with the socket they had fitted.
Prosthet Orthot Int
December 2024
CNRS, INT UMR 7289, Aix Marseille Université, Marseille, France.
Rowing requires both the upper and lower body to be active for balance, steering, and propulsion, constituting a real challenge for athletes with disabilities. To our knowledge, adapted setups allowing pararowing for people with bilateral transfemoral amputation have not yet been described. This case report describes the adapted setup for Mr S, 24 years old, who underwent bilateral transfemoral amputation in 2019 after a motorcycle accident.
View Article and Find Full Text PDFJB JS Open Access
December 2024
Limb Reconstruction Centre, Macquarie University Hospital, Macquarie University, Macquarie Park, New South Wales, Australia.
Materials (Basel)
November 2024
School of Engineering and Sustainable Development, De Montfort University, The Gateway, Leicester LE1 9BH, UK.
Friction and wear characteristics play a critical role in the functionality and durability of prosthetic sockets, which are essential components in lower-limb prostheses. Traditionally, these sockets are manufactured from bulk polymers or composite materials reinforced with advanced carbon, glass, and Kevlar fibres. However, issues of accessibility, affordability, and sustainability remain, particularly in less-resourced regions.
View Article and Find Full Text PDFProsthet Orthot Int
November 2024
Department of Bioengineering, Clemson University, Clemson, SC, USA.
Uneven pressure distribution within a transtibial prosthetic socket can lead to discomfort, skin degradation, and suspended prosthesis use. Current custom interfaces to improve pressure distribution are often costly, time-intensive to fabricate, or cannot be incorporated into standard socket fabrication methods. In this technical note, we describe the design and preliminary clinical evaluation of a novel transtibial prosthetic socket insert with modifiable mechanical properties, which can be incorporated into the current clinical cycle of care.
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