Načini suspenzije pri protezah za delne in popolne amputacije prstov : pregled literature

Jančar, Ana Maria (author), Moharić, Metka (mentor), Maver, Tomaž (co-mentor)

Uvod: Človeške roke so eden najbolj zapletenih mehanizmov, s katerimi se sporazumevamo in opravljamo dnevne aktivnosti. V primeru poškodb, prirojenih nepravilnosti ali sistemskih bolezni je potrebna popolna ali delna amputacija enega ali več prstov roke. Pri protezah za delne in popolne amputacije prstov roke se uporablja vakuum suspenzija, suspenzija z medicinskim lepilom, suspenzija s kostnimi vsadki, suspenzija z rokavico in suspenzija z vezavo s silikonskimi prstani na sosednji prst. Obstajajo tudi prilagoditve obstoječih suspenzij. Namen: Namen diplomskega dela je predstaviti suspenzije pri protezah za delne in popolne amputacije prstov roke ter ugotoviti njihovo uporabnost in učinkovitost. Zanimalo nas je katera suspenzija se največkrat uporablja. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom literature. Uporabili smo tudi komparativno metodo s katero smo primerjali članke. Rezultati: Za namen raziskave je bilo uporabnih 33 člankov. Suspenzija z vakuumom je najbolj uporabljena suspenzija, vendar je o njeni učinkovitosti najmanj podatkov. Kljub razvoju tehnologije, avtorji ne opisujejo nobene nove suspenzije. Kot novo metodo suspenzije omenjajo samo prilagoditve obstoječih suspenzij, kot najnovejšo pa opišejo suspenzijo s kostnimi vsadki. Tovrstna suspenzija je najbolj invazivna in zaradi možnih zapletov ni enotnih pogledov o negativnih in pozitivnih učinkov te suspenzije. Najredkeje uporabljajo suspenzijo z vezavo s silikonskimi prstani na sosednji prst in suspenzijo z rokavico. O teh dveh suspenzijah nismo našli primernih podatkov, zato ne vemo kakšni so pozitivni in negativni učinki suspenzij. Razprava in sklep: Ključno vlogo za uspešno uporabo proteze pri delnih in popolnih amputacijah prstov roke, predstavlja ustrezna izbira suspenzije za protezo. Kriterijev za izbiro suspenzije ni. Za merjenje učinkovitosti suspenzij, bi bilo smiselno določiti standardne postopke in kriterije, po katerih bi se le-ta ocenjevala, s tem pa bi pridobili objektivne in oprijemljivejše rezultate, ki bi pripomogli k boljši uporabi proteze, večjemu zadovoljstvu pacientov in lažjemu izboru primerne suspenzije.

• Language: Slovenian
• Keywords: proteze za prste, suspenzija protez za prste, amputacija prsta, funkcija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2016
• PID: 20.500.12556/RUL-88486
• COBISS.SI-ID: 5180011
• Publication date in RUL: 07.01.2017

Secondary language

• Language: English
• Title: Retention methods for partial and total finger prosthesis : literature review

Abstract

Introduction: Human hands are one of the most complicated mechanism. With our hands we communicate and do daily activities. In case of injury, congenital anomalies or systemic diseases, total or partial amputation of one or more fingers is needed. Suspensions used for total and partial finger prosthesis are vacuum suspension, adhesive suspension, bone-anchored implant suspension, glove type suspension and suspension with silicone ring attached on other fingers. Modifications of existing suspensions are used. Purpose: The purpose of the thesis is to present suspensions for total and partial finger prosthesis and their usefulness and effectiveness. The aim is also to determine which suspension is the most usable. Methods: We used the descriptive method of work with a literature review. The comparative method was used to compare data from collected articles. Results: For purpose of this research we used 33 articles. Vacuum suspension is the most usable suspension however there are least informations about its effectiveness. Although technology is developing, authors of articles do not describe any new suspension. As new suspension they are mentioning just adjustments of existing suspensions. Bone-anchored implant suspension is described as the newest. This suspension is the most invasive. Because of the potential complications authors do not agree about its negative and positive effects. Suspension with silicone ring attached on other fingers and glove type suspension are the less used suspensions. They did not find any suitable informations about them, so we do not know what are their positive and negative effects. Discussion and conclusion: Key role for successful use of prosthesis for total and partial finger amputations is suitable choice of suspension. There are no criteria for choosing the right suspension. It would be meaningful to determine standard procedures and criteria with which the effectiveness of suspension can be measured. In this way we would get objective and credible informations which could improve with better use of prosthesis, patients satisfaction and choosing the right suspension would be easier.

• Keywords: finger prosthesis, suspension for finger prosthesis, retention for finger prosthesis, finger amputation, function