SERAP ALSANCAK, S. Kenan KÖSE, Haydar ALTINKAYNAK

Elastik bandaj ve protez uygulamalarının güdük incelmesine etkileri

Amaç: Bu çalışmanın amacı elastik bandaj, pnömatik protez ve geçici protez uygulamalarının güdüğün şekillenmesi üzerine etkisini karşılaştırmaktır. Çalışma planı: Çalışmada yaşları 15-70 arasında değişen, amputasyon nedenleri tümör, diyabet, Burger hastalığı, osteomyelit ve trafik kazası olan, biri bilateral, 14 amputenin 15 güdüğü antropometrik ölçümlerle değerlendirildi. Hastaların beş güdüğü elastik bandaj, beşi pnömatik protez ve beşi geçici protez uygulama yöntemi ile şekillendirildi. Bulgular: Amputasyondan sonra en az iki, en fazla üç hafta içerisinde Ankara Üniversitesi Protez-Ortez Laboratuvarı'na başvuran bu hastaların güdüklerinde her üç uygulamada da incelme tespit edildi. Geçici protez uygulamasında, elastik bandaj ve pnömatik uygulamalara göre istatistiksel olarak anlamlı incelme bulundu (p

Anahtar Kelimeler:

Yapay kol ve bacaklar, Ampüteler, Ampütasyon güdük uçları, Bası bandajları, Protez uyumu, Ampütasyon, Bacak, Ameliyat sonrası bakım, Tedavi sonucu

Effect of elastic bandaging and prosthesis on the decrease in stump volume

Objectives: The aim of this study was to compare the effect of elastic bandaging, pneumatic prosthesis, and temporary prosthesis on postoperative stump management. Methods: This study included 14 patients, between 15 and 70 years old, whose causes of ampu tation were tumor, diabetes, Burger’s disease, osteomyelitis, and traffic accident. Fifteen stumps in 14 patients, one of whom was bilateral, were evaluated. The elastic bandaging was applied for five stumps, the pneumatic prosthesis for five stumps, and temporary prosthesis for five stumps. Results: A decrease in stump volume was observed for at least 2 or 3 weeks after the use of all three methods in patients who came to the Prosthetics and Orthotics Laboratory at Ankara University. The volume decrease induced by temporary prosthesis fitting was more significant than that achieved using elastic bandaging or pneumatic prosthetics (p<0.01). The greatest vol ume changes were identified distally for the elastic bandage group, proximally for the pneumat ic group, and medially for the temporarily applied prosthesis group. The temporary prosthesis group took less time to permanent prosthesis (39 days) and required less prosthesis training (p<0.01). Three amputees in the elastic bandaging group had postoperative contractures. Conclusion: Use of a temporary prosthesis results in ideal shaping of the stump in the shortest period of time. This approach also shortens the period of transition to permanent prosthesis, improves the quality of life of the amputee, and reintegrates the patient to normal life over a shorter period of time.

Keywords:

Artificial Limbs, Amputees, Amputation Stumps, Compression Bandages, Prosthesis Fitting, Amputation, Leg, Postoperative Care, Treatment Outcome,

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