Walking Ability and Quality of Life in Subjects With Transfemoral Amputation: A Comparison of Osseointegration With Socket Prostheses

• Published in: Archives of physical medicine and rehabilitation Vol. 94; no. 11; pp. 2174 - 2178
• Main Authors: Van de Meent, Hendrik, Hopman, Maria T., Frölke, Jan Paul
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2013
• Subjects: Adult; Aged; Amputation; Amputees - rehabilitation; Artificial Limbs; Case-Control Studies; Female; Femur - surgery; Function; Humans; Male; Middle Aged; Osseointegration; Oxygen Consumption; Physical Medicine and Rehabilitation; Prospective Studies; Prosthesis; Prosthesis Design; Quality of Life; Rehabilitation; Walking; Young Adult; Osseointegration; Prosthesis; TUG; PWS; 6MWT; Quality of life; SF-36; Function; OPRA; Amputation; OIP; Q-TFA; Rehabilitation; preferred walking speed; Timed Up & Go; Medical Outcomes Study 36-Item Short-Form Health Survey; osseointegration prosthesis; 6-minute walk test; Osseointegrated Prosthesis for the Rehabilitation of Amputees; Questionnaire for Persons With a Transfemoral Amputation
• ISSN: 0003-9993; 1532-821X; 1532-821X
• DOI: 10.1016/j.apmr.2013.05.020

To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23–67y) and mean time since amputation was 16.4 years (range, 2–45y). Causes of amputation were trauma (n=20) and tumor (n=2). Implantation of an osseointegration prosthesis (OIP). Global score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking. With the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively. Osseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.