PMID- 15658636 OWN - NLM STAT- MEDLINE DCOM- 20050426 LR - 20221207 IS - 0309-3646 (Print) IS - 0309-3646 (Linking) VI - 28 IP - 3 DP - 2004 Dec TI - Clinical field follow-up of high density polyethylene (HDPE)-Jaipur prosthetic technology for trans-tibial amputees. PG - 230-44 AB - The purpose of this study was to examine the outcome of the application of the High Density Polyethylene (HDPE)-Jaipur prosthetic construction in fitting trans-tibial amputees in a number of projects in the developing world. Projects in Honduras, Uganda and India were visited. Three hundred and twenty (320) patients had been provided with a HDPE-Jaipur prosthesis and of these 172 were seen for a technical and clinical follow-up after a median of 35 months. More than half the amputations were due to trauma, the remainder to disease. Fabrication and fitting in the three projects was carried out by individuals who had undertaken a twice week training course provided by Bhagwan Mahaveer Viklang Sahayata Samiti limb centre in Jaipur. The individuals involved had limited background training in prosthetics. Craftsmanship and fit were assessed as being poor in 56% of cases. The technical quality of the Jaipur foot was considered acceptable as its performance was better than previously observed results. Although there was patient satisfaction of 85% and compliance of 94% the HDPE-Jaipur trans-tibial system was not considered acceptable as 49% reported walking distances less than 1km and 36% discomfort. The major inadequacy in outcome relates to the use for fabrication and fitting of individuals with inadequate education and training. FAU - Jensen, J S AU - Jensen JS AD - ISPO, Copenhagen, Denmark. steen@ispo.ws FAU - Craig, J G AU - Craig JG FAU - Mtalo, L B AU - Mtalo LB FAU - Zelaya, C M AU - Zelaya CM LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - France TA - Prosthet Orthot Int JT - Prosthetics and orthotics international JID - 7707720 RN - 9002-88-4 (Polyethylene) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Amputation, Surgical/*rehabilitation MH - *Artificial Limbs MH - Child MH - Developing Countries MH - Equipment Failure Analysis MH - Follow-Up Studies MH - Honduras MH - Humans MH - India MH - Leg MH - Middle Aged MH - Patient Compliance/statistics & numerical data MH - Patient Satisfaction/statistics & numerical data MH - *Polyethylene MH - Prosthesis Design MH - Prosthesis Failure MH - Prosthesis Fitting MH - Tibia/*surgery MH - Uganda EDAT- 2005/01/22 09:00 MHDA- 2005/04/27 09:00 CRDT- 2005/01/22 09:00 PHST- 2005/01/22 09:00 [pubmed] PHST- 2005/04/27 09:00 [medline] PHST- 2005/01/22 09:00 [entrez] AID - 10.3109/03093640409167755 [doi] PST - ppublish SO - Prosthet Orthot Int. 2004 Dec;28(3):230-44. doi: 10.3109/03093640409167755.