title: Twenty-one months' experience with the PF-modified CIR casting system for trans-tibial prostheses.
abstract: BACKGROUND
  Shortly after the Centre for International Rehabilitation (CIR) casting system was demonstrated in Thailand, the Prostheses Foundation (PF) started modifying this system.
  
  
  OBJECTIVE
  To make the process suitable for the Foundation's main activities, namely clinical service at its main workshop, mobile clinics and satellite workshops.
  
  
  METHODS
  Clinical trial.
  
  
  METHODS
  The development of the PF-modified CIR casting system took nine months, with the final PF-system launched in January 2008. Since then it has been used extensively at the Foundation's main workshop and also during mobile clinics.
  
  
  RESULTS
  By September 2009, a total of 1030 trans-tibial and Symes prostheses had been made by this system, and the Foundation had trained more than 200 personnel. Personnel training has been widespread and the PF-system is now being implemented at all satellite workshops around Thailand and at a clinic in Acheh province, Indonesia.
  
  
  CONCLUSIONS
  Using the PF-modified CIR system has simplified the Foundation's work.
  
  
  CONCLUSIONS
  The PF-modified CIR casting system is demonstrated as the successful method for making of the prosthetic socket. This provides faster and more practical way than the original CIR system which gain the benefit for the amputees who live in the remote area. The PF-modified system can be implemented to other parties who interest as our satellite workshops began to operate this system in their workshops.
authors.affiliation: Prostheses Foundation of HRH the Princess Mother, Maerim district, Chiangmai, Thailand.
authors.forename: Therdchai
authors.initials: T
authors.lastname: Jivacate
authors.forename: M L Buddhibongsa
authors.initials: ML
authors.lastname: Devakula
authors.forename: Boonyou
authors.initials: B
authors.lastname: Tipaya
authors.forename: Tippaporn
authors.initials: T
authors.lastname: Yesuwarn
mesh_terms: D000671:Amputation, Surgical / Q000534:rehabilitation*; D001186:Artificial Limbs; D002370:Casts, Surgical; D006801:Humans; D008952:Mobile Health Units; D011474:Prosthesis Design / Q000379:methods*; D017755:Prosthesis Fitting / Q000379:methods*; D012047:Rehabilitation Centers; D013785:Thailand; D013977:Tibia