Patellar tendon bearing orthosis — application as adjunctive treatment in healing of lower-limb tissue loss
Khaira, H. S., Coddington, T., Drew, A., Roberts, P. N. and Imray, C. (Chris). (1998) Patellar tendon bearing orthosis — application as adjunctive treatment in healing of lower-limb tissue loss. European Journal of Vascular and Endovascular Surgery, Vol.16 (No.6). pp. 485-488. ISSN 1078-5884Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/S1078-5884(98)80238-4
to assess the efficacy of the patellar tendon bearing orthosis (PTBO) as adjunctive treatment of patients with significant lower-limb ischaemia and tissue loss complicated by neuropathy.
Design, materials and methods:
twelve consecutive patients (14 legs) with a variety of underlying conditions causing extensive lower limb tissue loss are described. Seven patients were diabetic. Six patients (seven legs) underwent vascular reconstruction procedures.
Chief outcome measures:
wound healing and amputation rate.
eight patients had ulcer healing within 5 months, one at 18 months (patient with alcoholic neuropathy who was poorly compliant with treatment), one stopped using the PTBO at 3 months and was converted to protective footwear with healing, one died of a myocardial infarct 1 month after the PTBO was fitted (the ulcer was showing signs of healing), and one has just had surgery and been fitted with a PTBO.
early results from this anecdotal series are encouraging and a prospective study to determine the application of the PTBO in patients with neuropathic and neuropathic/ischaemic tissue loss is planned.
|Item Type:||Journal Article|
|Divisions:||Faculty of Medicine > Warwick Medical School > Metabolic and Vascular Health
Faculty of Medicine > Warwick Medical School
|Journal or Publication Title:||European Journal of Vascular and Endovascular Surgery|
|Page Range:||pp. 485-488|
|Access rights to Published version:||Open Access|
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