Kinetics of transfemoral amputees with osseointegrated fixation performing common activities of daily living

Lee, Winson C., Frossard, Laurent A., Hagberg, Kerstin, Haggstrom, Eva, Branemark, Rickard, Evans, John H., & Pearcy, Mark J. (2007) Kinetics of transfemoral amputees with osseointegrated fixation performing common activities of daily living. Clinical Biomechanics, 22(6), pp. 665-673.

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Background: Direct anchorage of a lower-limb prosthesis to the bone through an implanted fixation (osseointegration) has been suggested as an excellent alternative for amputees experiencing complications from use of a conventional socket-type prosthesis. However, an attempt needs to be made to optimize the mechanical design of the fixation and refine the rehabilitation program. Understanding the load applied on the fixation is a crucial step towards this goal. Methods: The load applied on the osseointegrated fixation of nine transfemoral amputees was measured using a load transducer, when the amputees performed activities which included straight-line level walking, ascending and descending stairs and a ramp as well as walking around a circle. Force and moment patterns along each gait cycle, magnitudes and time of occurrence of the local extrema of the load, as well as impulses were analysed.
Findings: Managing a ramp and stairs, and walking around a circle did not produce a significant increase (P>0.05) in load compared to straight-line level walking. The patterns of the moment about the medio-lateral axis were different among the six activities which may reflect the different strategies used in controlling the prosthetic knee joint. Interpretations: This study increases the understanding of biomechanics of bone-anchored osseointegrated prostheses. The loading data provided will be useful in designing the osseointegrated fixation to increase the fatigue life and to refine rehabilitation protocol. Keywords: transfemoral amputation, prosthetics, osseointegration, transducer, activities of daily living.

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45 citations in Scopus
39 citations in Web of Science®
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ID Code: 8341
Item Type: Journal Article
Refereed: Yes
DOI: 10.1016/j.clinbiomech.2007.02.005
ISSN: 0268-0033
Subjects: Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300) > Biomechanical Engineering (090302)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 Elsevier
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 28 Jun 2007 00:00
Last Modified: 24 Jun 2017 14:38

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