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Rehabilitation Practice and Science

Translated Title

台大醫院義肢室十五年義肢裝置的調查

Abstract

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p＞0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower extremity amputees. Below-knee, above-knee, below-elbow and above-elbow amputations were the commonest level of amputation in the present study.Quadrilateral socket was mostly used for the above-knee amputee, with either accompanied with a Selesian band or solely with a suction valve for suspension. Before 1976, only the exoskeletal, single axis and constant friction knee are available. However, endoskeletal knee with stance phase locking could be provided after 1976, which was made locally. The patellar tendon bearing (PTB) socket and SACH (solid-ankle-cushion-heel) foot were the most frequently prescribed for the below-knee amputees. It was found that the number of upper extremity amputees had been increased for the prosthetic fitting since 1981, probably for the reasons of the allowance of payment for the prosthesis by labor insurance from that year, and the increasing rate of trauma after the escalation of industry in this country. The hook still remained as basic terminal device for the upper extremity amputees, although the mechanical hand were more and more commonly prescribed after 1981.

Language

Traditional Chinese

First Page

83

Last Page

87

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