title: [Criteria for socket type prescription: indications and                     contraindications of a liner system].
abstract: BACKGROUND
  The prescription of socket type for above-knee-amputees is based on clinical experience. There are no official guidelines. On the basis of treatment statistics and a patient survey, this study shows the indications and contraindications of a liner system.
  
  
  METHODS
  Treatment statistics including data from the medical reports of 183 above-knee-amputees, who were treated in our clinic from 2003 to 2007 were analysed. 32 patients had a system change between liner- and contact-shaft accommodation and were contacted by telephone. The aim was to evaluate satisfaction with the current socket type and thus be able to compare types.
  
  
  RESULTS
  A statistically significant relation in the treatment statistics between the quality of the stump and the socket type can be shown. A mesh graft to cover the stump, extreme volume fluctuation, low activity class and co-morbidities are the main reasons for the use of a liner system. Main reasons for a change to a liner system were the preservation of individual independence, better adhesion and skin problems.
  
  
  CONCLUSIONS
  The developed clinical criteria can help physicians decide which socket type is most beneficial for each individual patient.
authors: Abteilung für Kinderorthopädie, Deformitätenrekonstruktion und Fußchirurgie, Universitätsklinikum Münster. horter@ukmuenster.de
authors: M J
authors: MJ
authors: Horter
authors: E
authors: E
authors: Wieners
authors: J
authors: J
authors: Wühr
authors: H
authors: H
authors: Kirch
authors: T
authors: T
authors: Budny
authors: S
authors: S
authors: Schüling
authors: H H
authors: HH
authors: Wetz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000672:Amputation Stumps; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015995:Prevalence; D017755:Prosthesis Fitting / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult