Oral Communication

Satisfaction of patients with orthopaedic prosthesis made in the orthopedic center of the CNHU-HKM of Cotonou.

Dr Hountondji Etienne ALAGNIDEa, Dr Mabèrou Germain HOUNGBEDJIa, Dr Didier NIAMA NATTAa, Dr Herman AZANMASSOa, Mr Stachys NOUGBODEa, Prof Godonou Toussaint KPADONOUa

a Serice de Médecine Physique et Réadaptation (CNHU-HKM/ Cotonou)

In the global process of rehabilitation of the amputee, the installation of an adapted orthopedic prosthesis constitutes the main objective of PRM departments. Satisfaction of the patient of the prosthesis is determining in its use and participate in the quality of life of the patient [1].

Objective. To estimate the satisfaction of patients with orthopedic prosthesis made in the orthopedic center of the CNHU-HKM (OC/CNHU-HKM) of Cotonou, from 2006 till 2011.

Method. Cross-sectional study with descriptive and analytical aim which consisted in seeing again between September, 2012 and January, 2013 47 subjects according to the criteria of inclusion and exclusion well defined on 137 patients with prosthesis from OC/CNHU-HKM, between 2006 and 2011, that is six years. Their level of satisfaction towards the prosthesis and their quality of life according to the London Handicap Scale were the studied dependent variables.
Results. The subjects were 39,7 years old on average and for the greater part men (85,1 %). Prosthesis were exoskeletal (59,6 %) and endoskeletal (40,4 %). For the majority (57,5 %), the price of the prosthesis was high, but 63,8 % were satisfied with it. The quality of life was good for 14,9 %. The level of global satisfaction of the patients was influenced by their level of satisfaction in gait, by the solidity of the prosthesis, by the facility to use the prosthesis in daily and professional activities. There was no correlation between the level of satisfaction of the patient towards the prosthesis and his quality of life (p= 0,24).

Discussion/Conclusion. The satisfaction of the patients of their prosthesis is major for the good use of the device. For that purpose, it is necessary to reconcile the functional, esthetic financial requirements of the patient in the realization of the prosthesis.

[1]Akarsu S1,Tekin L,Safaz I,Göktepe AS,Yazicio?lu K. Quality of life and functionality after lower limb amputations: comparison between uni- vs. bilateral amputee patients. Prosthet Orthot Int. 2013;37:9-13.

Keywords : satisfaction, Prosthesis, orthopaedic Center