title: Improved comfort and function of arm prosthesis after implantation of a Humerus-T-Prosthesis in trans-humeral amputees.
abstract: The use of arm prosthesis in trans-humeral amputees is limited; due to the cone form of the amputation stump. A Humerus-T-Prosthesis was implanted in three patients to create artificial humerus condyles. Two of the patients were successfully rehabilitated with the application of a new type trans-humeral arm prosthesis. This arm prosthesis had a socket which is suspended and stabilized by the humerus and implant only. Traction and rotational stability were secured by adjustable pressure adaptation around the artificial condyles. The third patient developed a pressure wound over the lateral part of the artificial condyle that later healed. He also was subject to a new trauma with a fracture of the ipsilateral scapula and until now has had limited the use of his new arm prosthesis. It was concluded that this new concept for prosthesis fitting of trans-humeral amputees looks promising, but alternative designs of the implant should be tested.
authors.affiliation: Department of Orthopaedic Surgery, St Olav's University Hospital, Trondheim, Norway. eivind.witso@stolav.no
authors.forename: Eivind
authors.initials: E
authors.lastname: Witsø
authors.forename: Tomm
authors.initials: T
authors.lastname: Kristensen
authors.forename: Pål
authors.initials: P
authors.lastname: Benum
authors.forename: Svein
authors.initials: S
authors.lastname: Sivertsen
authors.forename: Leif
authors.initials: L
authors.lastname: Persen
authors.forename: Are
authors.initials: A
authors.lastname: Funderud
authors.forename: Tordis
authors.initials: T
authors.lastname: Magne
authors.forename: Hans Petter
authors.initials: HP
authors.lastname: Aursand
authors.forename: Arild
authors.initials: A
authors.lastname: Aamodt
mesh_terms: D000328:Adult; D000368:Aged; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs / Q000009:adverse effects*; D001696:Biomechanical Phenomena; D006801:Humans; D006811:Humerus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D011474:Prosthesis Design / Q000295:instrumentation; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation / Q000295:instrumentation*; D016059:Range of Motion, Articular