Medical Engineering & Physics
Volume 30, Issue 7 , Pages 825-833 , September 2008

Magnitude and variability of loading on the osseointegrated implant of transfemoral amputees during walking

  • Winson C.C. Lee

      Affiliations

    • School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
    • Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
    • Corresponding Author InformationCorresponding author at: Institute of Health & Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Tel.: +61 7 3138 6099; fax: +61 7 3138 6030.
    • ,
  • Laurent A. Frossard

      Affiliations

    • School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
    • Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
    • ,
  • Kerstin Hagberg

      Affiliations

    • Centre of Orthopaedic Osseointegration, Sahlgrenska University Hospital, Goteborg, Sweden
    • ,
  • Eva Haggstrom

      Affiliations

    • Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Goteborg, Sweden
    • ,
  • David Lee Gow

      Affiliations

    • Caulfield General Medical Centre, Melbourne, Australia
    • ,
  • Steven Gray

      Affiliations

    • Plastic & Reconstructive Surgery Unit/Osseointegration-OPRA Programme, The Alfred Hospital Melbourne, Australia
    • ,
  • Rickard Brånemark

      Affiliations

    • Centre of Orthopaedic Osseointegration, Sahlgrenska University Hospital, Goteborg, Sweden

Received 7 February 2007 ,Revised 24 September 2007 ,Accepted 24 September 2007.

References 

  1. Hagberg K, Brånemark R. Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int. 2001;25:186–194
  2. Mak A, Zhang M, Boone D. State-of-the-art research in lower-limb prosthetic biomechanics-socket interface: a review. J Rehabil Res Dev. 2001;38(2):161–174
  3. Gallagher P, Allen D, MacLachlan MI. Phantom limb pain and residual limb pain following lower limb amputation: a descriptive analysis. Disabil Rehabil. 2001;26:522–530
  4. Brånemark R, Brånemark P-I, Rydevik B, Myers RR. Osseointegration in skeletal reconstruction and rehabilitation: a review. J Rehabil Res Dev. 2001;38(2):175–181
  5. Aschoff H, Grundei H. The endo- exo-femurprosthesis: a new concept of prosthetic rehabilitation engineering following thigh-amputation—some cases and early results. In: International society for prosthetics and orthotics 11th world congress. Hong Kong. 2004;
  6. Sullivan J, Uden M, Robinson KP, Sooriakumaran S. Rehabilitation of the trans-femoral amputee with an osseointegrated prosthesis: the United Kingdom experience. Prosthet Orthot Int. 2003;27:114–120
  7. Hagberg K, Häggström E, Uden M, Brånemark R. Socket versus bone-anchored trans-femoral prostheses: hip range of motion and sitting comfort. Prosthet Orthot Int. 2005;29(2):153–163
  8. Robinson KP, Brånemark R, Ward DA. Future developments: osseointegration in transfemoral amputees. In:  Smith DG,  Michael JW,  Bowker JH editor. Atlas of amputations and limb deficiencies: surgical, prosthetic and rehabilitation principles. 3rd ed.. American Academy of Orthopaedic Surgeons; 2004;p. 673–681
  9. Sooriakumaran S, Robinson KP, Ward DA. Pattern of infection of transfemoral osseointegration. In: International society for prosthetics and orthotics 11th world congress. Hong Kong. 2004;
  10. Hagberg K. Physiotherapy for patients having a trans-femoral amputation. In:  Brånemark P-I editors. The osseointegration book. Berlin: Quintessenz Verlags-GmbH; 2005;p. 477–487
  11. DiAngelo DJ, Winter DA, Ghista DN, Newcombe WR. Performance assessment of the Terry Fox jogging prosthesis for above-knee amputees. J Biomech. 1989;22(6/7):543–548
  12. Stephenson P, Seedhom BB. Estimation of forces at the interface between an artificial limb and an implant directly fixed into the femur in above-knee amputees. J Orthop Sci. 2002;7(3):192–297
  13. Wearing SC, Urry SR, Smeathers JE. Ground reaction forces at discrete sites of the foot derived from pressure plate measurements. Foot Ankle Int. 2001;22(8):653–661
  14. Berme N, Lawes P, Solomonidis S, Paul JP. A shorter pylon transducer for measurement of prosthetic forces and moments during amputee gait. Eng Med. 1975;4(4):6–8
  15. Nietert M, Englisch N, Kreil P, Alba-Lopez G. Loads in hip disarticulation prostheses during normal daily use. Prosthet Orthot Int. 1998;22:199–215
  16. Frossard LJB, Dillon M, Chappell M, Evans JH. Development and preliminary testing of a device for the direct measurement of forces and moments in the prosthetic limb of transfemoral amputees during activities of daily living. J Prothet Orthot. 2003;15(4):135–142
  17. Frossard L, Beck J, Dillon M, Evans J. Comparison between the forces and moments applied on the residium of above-knee amputees during daily life activities and walking. In: Proceedings of 10th international society of prosthetics and orthotics world congress. Glasgow, United Kingdom. 2001;
  18. Perry J. Gait analysis: normal and pathological function. Thorofare, NJ: Slack; 1992;
  19. Lee WCC, Frossard L, Hagberg K, Haggstrom E, Lee Gow D, Gray S, et al. Kinetics analysis of transfemoral amputees fitted with osseointegrated fixation performing various activities of daily living. Clin Biomech. 2007;22(6):665–673

PII: S1350-4533(07)00161-0

doi: 10.1016/j.medengphy.2007.09.003

Medical Engineering & Physics
Volume 30, Issue 7 , Pages 825-833 , September 2008

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