Trans-fémoral amputee s 'care pathway : from conventionnal socket-system to osseointegration.

Mrs Isabelle BONILLOa, Mr Mathieu JOUVETb, Dr France KOMMINOTHa

a CRF Maguelone, b Entreprise Marcenac Ducros

For centuries, technology has allowed great advances in the field of prosthetic limbs. At the end of the 20th and the beginning of the 21st century, scientific progress in materials and petrochemical industry offered the opportunity to make a giant step forward to meet the age-old problems of the amputee, with the constant objective to improve comfort and provide optimum functionality.

Mr B., above-knee amputee, throughout his rehabilitation program, has been able to test and compare various types of prosthetic sockets: traditional-contact, with low-friction sleeve (made of parachute-type material), with calendered silicone’s socket. Each of them caused pain and discomfort, with difficulties in finding a suitable device, due to a short and atypical stump.

Only osseointegration, decided after a multidisciplinary consultation, provided a solution to put an end to all prosthetic failures, achieving complete satisfaction of the patient, with an overall better quality of life.

We wish to demonstrate the interest of multidisciplinary care for patients in Rehabilitation center, upstream and downstream, in osseointegration.

Keywords : Trans-femoral amputee -Prosthetic sockets-Rehabilitation program-Osseointegration-Multi-displinarity care-