对截肢与假肢一些问题的探讨

The Study on Probl c ms of Am putation and Pros-thesis

作者就３年来住院截胚患者７３例进行讨论，现代假肢改变了传统开放的塞入式接受腔为闭合的全面接触式接受腔，截肢技术已改进，主要是残端肌肉瓣固定术和成形术，神经残端结扎．强调了截肢部位的选择。临时假肢可加速残肢定型和早期功能训练。康复训练对减少并发症和发挥假肢代偿功能是非常重要的。提出利用步行能力和步态分析两项客观指标对功能进行综合评价，本组下肢假肢代偿功能的优良率为６４．２５％。

Abstract73 cases of amputees hospitalized in the past threevears are discussed in this paper. Conternporary pros-thesis has discontinued use of the traditional openplug-in socket in faver of the close total contact sock-et.Amputative technology has been improved.Stumps are now myodetic and myoplastic and ends ofnerves are ligated. Selection of amputation levels hasbeen emphasized.The temporary pro5thesis speeds upthe classification of stumps and early functional train-ing. Rehabilitation training is very important for re-ducing complications and initiating the compensatoryfunction of prosthesis. The author suggests the use ofthe two objective indices of walking abilitv and gait analysis to carry out comprehensive evaluation of func-tional ability.The rate of good to excellent compen-satory functional ability for the group with lower-limbprosthesis was 64. 25%.