1. Upper-Limb Prosthetic Maintenance Data: A Retrospective Analysis Study.
- Author
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Nagaraja, Vikranth H., Cheng, Runbei, Slater, David Henderson, Thompson, Mark S., and Bergmann, Jeroen H.M.
- Subjects
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ARM injuries , *ARTIFICIAL limbs , *PROSTHETICS , *HAND injuries , *AGE distribution , *RETROSPECTIVE studies , *SEX distribution , *RESEARCH funding , *DESCRIPTIVE statistics , *CHI-squared test , *SOCIODEMOGRAPHIC factors ,ARM abnormalities - Abstract
Introduction: Understanding repair patterns of upper-limb (UL) prosthetic devices have received little attention compared with their lower-limb counterparts. This study focuses on a retrospective analysis of anonymized UL prosthetic maintenance data to establish if there were any patterns of repairs at a regional prosthetic limb-fitting center in the United Kingdom. A secondary aim of this study is to describe the patient demographics of this center. Methods: Data containing prosthetic repair log and demographic description (n = 212) were acquired through our clinical partners and subjected to statistical analyses. Results: On average, each client visited the center 0.2 times/year for a new device and 0.9 times/year for maintenance-related activities. It is found that the repair rates are generally higher for body-powered devices (1.28 visits/device per year) compared with passive (0.94 visits/device per year) and externally powered devices (0.90 visits/device per year). In keeping with the typical UK UL-deficient population, there is a high male-to-female ratio, and higher instances of traumatic amputations were noticed for males at the center. There is a very high preponderance of congenital cases and an overall emphasis on prescribing passive devices to a majority of patients at the center. Conclusions: The data from our study are similar to previously published data from other centers and show a consistent pattern in terms of relative rates of maintenance attendances for different types of UL prostheses. Clinical Relevance: This study provides a longitudinal perspective and insights on ever-changing requirements (prostheses and related care) of the users at the level of a regional limb-fitting center. This study underscores current gaps in prosthetic device durability/reliability and opens up avenues for improvement of prosthetic services and devices. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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