Academic Journal
Structural changes in the thigh muscles following trans-femoral amputation
| Τίτλος: | Structural changes in the thigh muscles following trans-femoral amputation |
|---|---|
| Συγγραφείς: | M. Alimusaj, Simone Gantz, Burkhard Lehner, Daniel W.W. Heitzmann, Joel A. Block, Sven-David Müller, C Putz, Sebastian I. Wolf, Thomas Dreher |
| Πηγή: | European Journal of Orthopaedic Surgery & Traumatology. 27:829-835 |
| Στοιχεία εκδότη: | Springer Science and Business Media LLC, 2017. |
| Έτος έκδοσης: | 2017 |
| Θεματικοί όροι: | Adult, Male, Amputation Stumps, Walking, Middle Aged, Magnetic Resonance Imaging, Amputation, Surgical, Quadriceps Muscle, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Adipose Tissue, Gracilis Muscle, Humans, Female, Femur, Mobility Limitation, Aged, Psoas Muscles, Retrospective Studies |
| Περιγραφή: | Early ambulation is the principal objective in trans-femoral amputees. Postamputation modifications complicate the rehabilitation process due to a reduced control at the interface between stump and prosthesis. The aim of this study is to determine whether magnetic resonance imaging depicts the amount of fatty degeneration of the thigh muscles after trans-femoral amputation (TFA).A total of 12 patients following a TFA on the basis of a bone neoplasm or metastasis with an evaluable postoperative MRI were identified. Using the Goutallier classification, the fatty degeneration of the thigh muscles was analyzed in the middle (M) and at the distal end (E) of the residual limb at T1 (10.6 months) and T2 (25.6 months).Analysis at two different levels showed different grades of fatty degeneration of thigh muscles after TFA at T1 and T2. Comparing fatty degeneration at both levels of the stump, the quadriceps femoris revealed a significant change (p = 0.01) at T1 and M. sartorius and adductor (p = 0.02) at T2.MRI is an excellent diagnostic tool to evaluate fatty degeneration after TFA. The highest amount of fatty degeneration of the quadriceps muscle was monitored within the first 10 months. Early physiotherapy is important to strengthen the remaining stump muscles during rehabilitation. |
| Τύπος εγγράφου: | Article |
| Γλώσσα: | English |
| ISSN: | 1432-1068 1633-8065 |
| DOI: | 10.1007/s00590-017-1929-5 |
| Σύνδεσμος πρόσβασης: | https://pubmed.ncbi.nlm.nih.gov/28224229 https://rd.springer.com/article/10.1007/s00590-017-1929-5 https://www.ncbi.nlm.nih.gov/pubmed/28224229 https://pubmed.ncbi.nlm.nih.gov/28224229/ https://link.springer.com/article/10.1007/s00590-017-1929-5 |
| Rights: | Springer TDM |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....5d6b618dcf81c73cfea1e405004aa1bd |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 14321068 16338065 |
|---|---|
| DOI: | 10.1007/s00590-017-1929-5 |