Article

Persons with amputation and residual limb wounds would benefit from
the ability to continue wearing a prosthesis while healing. Sockets with
vacuum-assisted suspension may reduce intra-socket motion and be less disruptive
to wound healing. The purpose of this case series was to measure residual limb
wound size over time in persons with transtibial amputation while using
prostheses with vacuum-assisted suspension. Case description and methods: Six
subjects with residual limb wounds were fit with vacuum-assisted suspension
sockets. Wound surface area was calculated using ImageJ software at the time of
fit and each subsequent visit until closure. Findings and outcome: Average wound
surface area at initial measurement was 2.17 +/- 0.65 cm(2). All subjects were
instructed to continue their normal activity level while wounds healed, with a
mean of 177.6 +/- 113 days to wound closure. Conclusion: Results suggest that
well-fitting sockets with vacuum-assisted suspension in compliant individuals did
not preclude wound healing. Further research is required to substantiate these
case-based observations. Clinical relevance Residual limb wounds are typically
treated by suspension of prosthetic use until healing occurs, increasing the risk
of long-term prosthesis nonuse. Our results suggest that vacuum-assisted
suspension sockets may be used while healing occurs.

Langue : ANGLAIS