Patient-reported experiences, satisfaction, and outcomes of the use of high-profile and silicone prostheses in patients with traumatic Chopart amputation.

内容摘要

Clinicians may have difficulty in selecting Chopart prosthesis. We aimed to compare patients with traumatic Chopart amputation using high-profile prostheses with those using silicone prostheses in terms of satisfaction level, cause of dissatisfaction, difficulty on different terrains, pain severity, and quality of life (QoL). Twenty-four patients were included in this cross-sectional study. Visual Analog Scale (VAS) was used to evaluate the participants' intact limb pain, residual limb pain, and low back pain. The reason for prosthesis dissatisfaction was asked as an open-ended question. The QoL assessment was performed using the Short Form 36 (SF-36). The severity of low back pain (p = 0.020) and residual limb pain (p = 0.024) were lower in the group using silicone prosthesis compared to the other group. SF-36 physical function (p = 0.007), role limitations due to physical health issues (p = 0.032) and emotional health (p = 0.024) subscale scores were higher in the group using silicone prosthesis than in the group using high-profile prosthesis. Patients using silicone prostheses reported less residual limb pain and lower back pain and higher quality of life aspects of physical functioning and emotional health than patients using high-profile prostheses. Further prospective clinical studies are needed to compare the effects of these two prostheses.