Morphometric scale of readiness of the limb stump for prosthetics and assessment of the technical condition of the operated prosthesis
- Authors: Osmonaliev I.Z.1, Bilgildeev M.G.2, Ergashev K.K.3, Abdurakhmanov R.V.4, Baikeev R.F.1
-
Affiliations:
- Kazan State Medical University
- Clinic of the Medical University
- City Clinical Hospital № 7
- City Clinical Hospital № 16
- Issue: Vol 30, No 2 (2023)
- Pages: 161-173
- Section: Original study articles
- URL: https://bakhtiniada.ru/0869-8678/article/view/254199
- DOI: https://doi.org/10.17816/vto114726
- ID: 254199
Cite item
Full Text
Abstract
BACKGROUND: There are currently no quantitative criteria for the completion of the upper and/or lower limb stump after amputation or disarticulation for prosthetics, even though this is a key moment at the start of a patient's stage of medical rehabilitation and social adaptation. Also, there is no scale for assessing the technical condition of a prosthetic limb that is already in use.
OBJECTIVE: To develop evaluation scales to assess the morphometric stump readiness for prosthetics and the technical condition of the prosthesis in use.
MATERIALS AND METHODS: The current standards and Interstate Standard concerning the issues of prosthetics after limb amputation in the Russian Federation and in the world, as well as medical documentation containing information recorded during limb amputation or disarticulation were analyzed.
RESULTS: The developed scales for stump condition assessment and technical condition of a prosthesis in use will allow to determine the final criteria of stump readiness for prosthetics and timely eliminate technical prosthesis defects or replace it, thus maintaining the patient's social activity without forced interruptions.
CONCLUSION: In this study we significantly expanded the assessment scale of the limb stump morphometric readiness and detailing for prosthetics and the technical condition of the prosthesis in use in comparison with the existing Interstate Standard; quantitative criteria were introduced, allowing the traumatologist to have a clear algorithm of actions both when treating patients immediately after limb amputation (disarticulation) and in terms of assessing the condition of the prosthesis in use; scales suitable for implementation in medical electronic document management have been developed.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Ikar Zh. Osmonaliev
Kazan State Medical University
Email: ikarkg-kaz@mail.ru
ORCID iD: 0000-0003-1432-6135
SPIN-code: 5604-8153
MD, Cand. Sci. (Med.), Assistant
Russian Federation, KazanMurat G. Bilgildeev
Clinic of the Medical University
Author for correspondence.
Email: listik99@list.ru
ORCID iD: 0000-0002-6563-5192
SPIN-code: 1982-4006
MD, Traumatologist-Orthopedist, Head of the Department
Russian Federation, KazanKhalimjon Kh. Ergashev
City Clinical Hospital № 7
Email: rgashev0107@mail.ru
ORCID iD: 0000-0002-3251-5063
MD, Traumatologist-Orthopedist
Russian Federation, KazanRakhmonzhon V. Abdurakhmanov
City Clinical Hospital № 16
Email: rohman_borz00@mail.ru
ORCID iD: 0000-0002-8484-1127
MD, Orthopedic Traumatologist
Russian Federation, KazanRustem F. Baikeev
Kazan State Medical University
Email: baykeev@mail.ru
ORCID iD: 0000-0003-4306-3805
SPIN-code: 1158-6738
MD, Dr. Sci. (Med.), Professor
Russian Federation, KazanReferences
- GOST R 51819-2022. Protezirovanie i ortezirovanie verhnih i nizhnih konechnostej. Moscow: Rossijskij institut standartizacii; 2022. P. 1. (In Russ).
- GOST R 51191-2019. Uzly protezov nizhnih konechnostej. Tekhnicheskie trebovaniya i metody ispytanij. Moscow: Standartinform; 2019. P. 1–8. (In Russ).
- GOST R 9999-2019. Vspomogatel’nye sredstva dlya lyudej s ogranicheniyami zhiznedeyatel’nosti. Klassifikaciya i terminologiya. Moscow: Standartinform; 2019. P. 1–167 (In Russ).
- Prikaz Ministerstvа truda i social’noj zashchity Rossijskoj Federacii ot 13 fevralya 2018 g. № 86n «Ob utverzhdenii klassifikacii tekhnicheskih sredstv reabilitacii (izdelij) v ramkah federal’nogo perechnya reabilitacionnyh meropriyatij, tekhnicheskih sredstv reabilitacii i uslug, predostavlyaemyh invalidu, utverzhdennogo rasporyazheniem Pravitel’stva Rossijskoj Federacii ot 30 dekabrya 2005 g. № 2347-r (s izmeneniyami na 22 iyunya 2022 goda)». Available from: https://www.garant.ru/products/ipo/prime/doc/71797812/. Accessed: 20.03.2023. (In Russ).
- Prikaz Ministerstva truda i social’noj zashchity Rossijskoj Federacii ot 5 marta 2021 goda № 107n «Ob utverzhdenii srokov pol’zovaniya tekhnicheskimi sredstvami reabilitacii, protezami i protezno-ortopedicheskimi izdeliyam (s izmeneniyami na 6 maya 2022 goda)». Available from: https://normativ.kontur.ru/document?moduleId=1&documentId=436317. Accessed: 20.03.2023. (In Russ).
- Prikaz Ministerstvа truda, i social’noj zashchity Rossijskoj Federacii ot 5 marta 2021 g. № 106n «Ob utverzhdenii perechnya pokazanij i protivopokazanij dlya obespecheniya invalidov tekhnicheskimi sredstvami reabilitacii (s izmeneniyami na 22 iyunya 2022 goda)». Available from: https://docs.cntd.ru/document/603321691. Accessed: 20.03.2023. (In Russ).
- Mühldorfer-Fodor M, Dimitrova P, Prommersberger KJ. Amputations of fingers and the hand. Unfallchirurg. 2022;125(4):275–281. doi: 10.1007/s00113-022-01154-3
- Liston JM, Forster GL, Samuel А, et al. Estimating the impact of postamputation pain. Annals of plastic surgery. 2022;5(5):533–537. doi: 10.1097/SAP.0000000000003009
- Boer-Wilzing VG, Bolt А, Geertzen JH, et al. Variation in results of volume measurements of stumps of lower-limb amputees: A Compari-Son of 4 Methods. Arch phys med rehabil. 2011;92(6):941. doi: 10.1016/j.apmr.2011.01.007
- Chillale TP, Kim NH, Smith LN. Mechanical and finite element analysis of an innovative orthopedic implant designed to increase the weight carrying ability of the femur and reduce frictional forces on an amputee’s stump. Military Medicine. 2019;184(1):627–636. doi: 10.1093/milmed/usy382
- GOST R ISO 8548-2-2021. Protezirovanie i ortezirovanie. Defekty konechnostej. Chast’ 2. Metod opisaniya amputacionnoj kul’ti nizhnej konechnosti. Moscow: Standartinform; 2021. P. 3. (In Russ).
- Portenoy R, Asbury G, McKhann W, et al. Management of chronic pain. In: Diseases of the Nervous System: Clinical Neuroscience and Therapeutic Principles. Cambridge: Cambridge University Press; 2002. P. 906–919. doi: 10.1017/CBO9781316134993.061
- Bil’gil’deev MG, Osmonaliev IZH, Baikeev RF. Protezirovanie konechnosti. Prakticheskaya medicina. 2021;19(4):146–152. (In Russ). doi: 10.32000/2072-1757-2021-4-146-152
- Osmonaliev IZH, Bil‘gil‘deev MG, Baikeev RF. Optimizaciya statisticheskogo ucheta kontingenta lic s amputaciej konechnostej v Respublike Tatarstan (s uchetom dannyh otechestvennyh i zarubezhnyh issledovanij). Obshchestvennoe zdorov‘e i zdravoohranenie. 2019;64(4):37–48. (In Russ).
- Priorov NN. Amputacii konechnostej i protezy. Moscow–Leningrad: Medgiz; 1941. 108 р. (In Russ).
- George JA, Kluger DT, Davis TS, et al. Biomimetic sensory feedback through peripheral nerve stimulation improves dexterous use of a bionic hand. Sci Robot. 2019;32(4):eaax2352. doi: 10.1126/scirobotics.aax2352
- Snetkov AA, Haspekov DV, Snetkov AI, et al. Endoprotezirovanie rukoyatki grudiny pri hondrosarkome G1: klinicheskij sluchaj. N.N. Priorov Journal of Traumatology and Orthopedics. 2022;29(2):151. (In Russ). doi: 10.17816/vto109447
- Prilozhenie № 3 k prikazu Ministerstva zdravoohraneniya Rossijskoj Federacii ot 5 avgusta 2022 g. № 530n, uchetnaya forma № 003/u «Medicinskaya karta pacienta, poluchayushchego medicinskuyu pomoshch’ v stacionarnyh usloviyah, v usloviyah dnevnogo stacionara». Available from: https://docs.cntd.ru/document/351746576. Accessed: 20.03.2023. (In Russ).
- Prilozhenie № 1 k prikazu Ministerstvа zdravoohraneniya Rossijskoj Federacii ot 15 dekabrya 2014 g. № 834n «Ob utverzhdenii unificirovannyh form medicinskoj dokumentacii, ispol’zuemyh v medicinskih organizaciyah, okazyvayushchih medicinskuyu pomoshch’ v ambulatornyh usloviyah, i poryadkov po ih zapolneniyu», uchetnaya forma № 025/u «Medicinskaya karta pacienta, poluchayushchego medicinskuyu pomoshch’ v ambulatornyh usloviyah». Available from: https://docs.cntd.ru/document/603321691. Accessed: 20.03.2023. (In Russ).
- Рrikaz Ministerstvа zdravoohraneniya SSSR «Ob utverzhdenii form pervichnoj medicinskoj dokumentacii uchrezhdenij zdravoohraneniya» ot 4 oktyabrya 1980 goda № 1030, forma 112/u «Istoriya razvitiya rebenka» (s izmeneniyami na 31 dekabrya 2002 goda). Available from: https://docs.cntd.ru/document/9042149. Accessed: 20.03.2023. (In Russ).
- Starchenko AA, Tarasova OV, Saldueva OV, et al. Karta defektov medicinskoj pomoshchi: Posobie dlya medicinskih rabotnikov i ekspertov po defektam okazaniya medicinskoj pomoshchi. 3-e izdanie dopolnennoe. Moscow: Nacional’noe Agentstvo po bezopasnosti pacientov i nezavisimoj medicinskoj ekspertize; 2016. P. 472–476.
- GOST R 52114-2021. Uzly mekhanicheskih protezov verhnih konechnostej. Tekhnicheskie trebovaniya i metody ispytanij. Moscow: Standartinform; 2021. P. 1–16. (In Russ).
- GOST R 53869-2021. Protezy nizhnih konechnostej. Tekhnicheskie trebovaniya. Moscow: Standartinform; 2021. P. 1–7. (In Russ).
- GOST R 59226-2020. Protezy verhnih konechnostej s vneshnim istochnikom energii. Obshchie tekhnicheskie trebovaniya. Moscow: Standartinform; 2021. P. 2–3. (In Russ).
- GOST R 58447-2019. Protezy nizhnih konechnostej s vneshnim istochnikom energii. Obshchie tekhnicheskie trebovaniya. Moscow: Standartinform; 2019. P. 2–3. (In Russ).
- Federal‘nyj zakon Rossijskoj Federacii № 181-FZ «O social‘noj zashchite invalidov v Rossijskoj Federacii» ot 24.11.1995 g. [prinyat Gosudarstvennoj Dumoj 20 iyulya 1995 goda: odobren Sovetom Federacii 15 noyabrya 1995 goda]. Stat‘ya 11 «Individual‘naya programma reabilitacii ili abilitacii invalida (v red. Federal‘nogo zakona ot 01.12.2014 N 419-FZ (v red. Ot 29.12.2015)). Available from: https://www.consultant.ru/document/cons_doc_LAW_8559/. Accessed: 16.05.2023. (In Russ).
- Prikaz Ministerstvа zdravoohraneniya i social’nogo razvitiya Rossijskoj Federacii ot 31.01.2011 № 57n «Ob utverzhdenii poryadka vyplaty kompensacii za samostoyatel’no priobretennoe invalidom tekhnicheskoe sredstvo reabilitacii i (ili) okazannuyu uslugu, vklyuchaya poryadok opredeleniya ee razmera i poryadok informirovaniya grazhdan o razmere ukazannoj kompensacii (s izmeneniyami na 8 oktyabrya 2021 goda)». Available from: https://docs.cntd.ru/document/902260638. Accessed: 20.03.2023. (In Russ).
- Ob elektronnyh sertifikatah [Internet]. GIS Elektronnye sertifikaty. Available from: http://ecert.gov.ru. Accessed: 20.03.2023. (In Russ).
- Postanovlenie Pravitel’stva Rossijskoj Federacii ot 29.04.2021 № 678 «Ob utverzhdenii pravil opredeleniya predel’noj stoimosti edinicy otdel’nogo vida tovara, raboty, uslugi, priobretaemyh s ispol’zovaniem elektronnogo sertifikata za schet sredstv federal’nogo byudzheta i byudzheta Fonda social’nogo strahovaniya Rossijskoj Federacii» (v redakcii postanovleniya Pravitel’stva Rossijskoj Federacii ot 06.05.2022 № 819). Available from: http://publication.pravo.gov.ru/Document/View/0001202105040022. Accessed: 20.03.2023. (In Russ).
- GOST R 2.601-2019. Edinaya sistema konstruktorskoj dokumentacii. Ekspluaticionnye dokumenty. Moscow: Standartinform; 2021. (In Russ).
- Resheniye Tsentralnogo rayonnogo suda g. Kaliningrada № 2-4221/2014 2-7/2015 2-7/2015(2-4221/2014;)~M-3373/2014 M-3373/2014 ot 21 yanvarya 2015 g. po delu № 2-4221/2014. Available from: https://sudact.ru/regular/doc/Q3gmAw4BTf5l/. Accessed: 20.03.2023. (In Russ).
- Prikaz Ministerstvа truda, i social’noj zashchity Rossijskoj Federacii ot 13 iyunya 2017 goda № 486n «Ob utverzhdenii poryadka razrabotki i realizacii individual’noj programmy reabilitacii ili abilitacii invalida, individual’noj programmy reabilitacii ili abilitacii rebenka-invalida, vydavaemyh federal’nymi gosudarstvennymi uchrezhdeniyami mediko-social’noj ekspertizy, i ih form. Vzamen Prikaza Ministerstva truda i social’noj zashchity Rossijskoj Federacii ot 31 Iyulya 2015 g. № 528n (s izmeneniyami na 15 dekabrya 2020 goda)». Available from: http://publication.pravo.gov.ru/Document/View/0001201708010058?index=33&rangeSize=1/. Accessed: 20.03.2023. (In Russ).
- Neder M, Neder GG, Blomke F. Protezy nizhnih konechnostej. Moscow: SHiel’ i SHon, 2000; 132 р. (In Russ).
- Rakitin AV. Rukovodstvo po protezirovaniyu. Moscow: Medicina; 1993. 136 р. (In Russ).
Supplementary files
