CASE REPORT   Free access

European Journal of Physical and Rehabilitation Medicine 2018 October;54(5):752-6

DOI: 10.23736/S1973-9087.18.04847-5

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Spiral sockets for various types of stumps in transhumeral amputees: a case series

Yukiyo SHIMIZU ^{1, 2} ✉, Hirotaka MUTSUZAKI ², Hiroyuki TORISHIMA ³, Kenichi YOSHIKAWA ⁴, Daisuke KATANE ⁵, Ryoko TAKEUCHI ², Yuki MATAKI ², Kayo TOKEJI ⁶, Yasuyoshi WADANO ⁶

¹ Department of Rehabilitation Medicine, University of Tsukuba Hospital, Tsukuba, Japan; ² Department of Orthopedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, Ami-machi, Japan; ³ Omiya Gishi Laboratory, Toromachi, Japan; ⁴ Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ami-machi, Japan; ⁵ Department of Occupational Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ami-machi, Japan; ⁶ Department of Rehabilitation Medicine, Ibaraki Prefectural University of Health Sciences Hospital, Ami-machi, Japan

BACKGROUND: Fitting a stump prosthesis is difficult in transhumeral amputees because of the stump’s conical form. Shoulder harnesses for suspension can cause neck and shoulder pain. We developed a novel spiral socket transhumeral prosthesis to overcome these difficulties. We investigated its safety and effects in transhumeral amputees.
CASE REPORT: Five transhumeral amputees with a mean age of 50.8±23.8 (range, 19-75 years) were fitted with the spiral socket between April 2013 and February 2017. Spiral sockets can adapt to changes in the shape of the stump, even in early stages when stump shape can change. It can also adapt to an hourglass-shaped stump.
CLINICAL REHABILITATION IMPACT: The novel spiral socket transhumeral prosthesis might be useful for socket-stump adaptation at various stages after amputation. It may also be used for irregularly shaped stumps and can possibly prevent secondary complications, including neck and shoulder pain and skin disorders.

KEY WORDS: Amputees - Prostheses and implants - Amputation stumps