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Structural changes in the thigh muscles following trans-femoral amputation.
Putz, C; Block, J; Gantz, S; Heitzmann, D W W; Dreher, T; Lehner, B; Alimusaj, M; Wolf, S I; Müller, S.
Afiliación
  • Putz C; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany. cornelia.putz@med.uni-heidelberg.de.
  • Block J; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Gantz S; Experimental Orthopaedics, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Heitzmann DWW; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Dreher T; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Lehner B; Tumour Orthopaedics, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Alimusaj M; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Wolf SI; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
  • Müller S; Paediatric Orthopaedics and Foot Surgery, Center for Orthopaedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
Eur J Orthop Surg Traumatol ; 27(6): 829-835, 2017 Aug.
Article en En | MEDLINE | ID: mdl-28224229
INTRODUCTION: 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). METHODS: 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). RESULTS: 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. CONCLUSIONS: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tejido Adiposo / Músculos Psoas / Músculo Cuádriceps / Músculo Grácil / Amputación Quirúrgica / Muñones de Amputación Tipo de estudio: Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2017 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tejido Adiposo / Músculos Psoas / Músculo Cuádriceps / Músculo Grácil / Amputación Quirúrgica / Muñones de Amputación Tipo de estudio: Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2017 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia