title: Clinical field testing of polyurethane feet for trans-tibial amputees in tropical low-income countries.
abstract: In a prospective controlled study, 172 polyurethane feet of different designs were fitted to 155 amputees with trans-tibial prostheses. These were followed in respect of their durability. The amputee compliance was in general good, and 87% were satisfied with their device. After 18 months the failure rate of 20% with the CIREC spring-blade foot was significantly better than the others, but poorer craftsmanship, higher complaint rate and lower compliance rate cast some doubt on the results. The results with the conventional SACH foot constructions with polyurethane as filling and covering materials were so poor after 18 months that their use cannot be recommended in tropical areas of the developing world.
authors.affiliation: ISPO, Copenhagen, Denmark. steen@ispo.ws
authors.forename: J
authors.initials: J
authors.lastname: Steen Jensen
authors.forename: R
authors.initials: R
authors.lastname: Nilsen
authors.forename: N H
authors.initials: NH
authors.lastname: Thanh
authors.forename: A
authors.initials: A
authors.lastname: Saldana
authors.forename: C
authors.initials: C
authors.lastname: Hartz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D000673:Amputation, Traumatic; D001186:Artificial Limbs; D003906:Developing Countries; D005528:Foot; D018409:Foot Injuries / Q000534:rehabilitation; D006801:Humans; D008422:Materials Testing; D008875:Middle Aged; D010349:Patient Compliance; D017060:Patient Satisfaction; D011140:Polyurethanes; D011446:Prospective Studies; D011474:Prosthesis Design; D011475:Prosthesis Failure; D017755:Prosthesis Fitting; D013977:Tibia / Q000601:surgery; D014329:Tropical Climate
chemical_list: D011140:Polyurethanes