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This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis:

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Presentation on theme: "This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis:"— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system. J Rehabil Res Dev. 2015;52(4):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.11.0280 Slideshow Project DOI:10.1682/JRRD.2014.11.0280JSP Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system Dora-Lisa Juhnke, MD; James P. Beck, MD; Sujee Jeyapalina, PhD; Horst H. Aschoff, MD

2 This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system. J Rehabil Res Dev. 2015;52(4):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.11.0280 Slideshow Project DOI:10.1682/JRRD.2014.11.0280JSP Aim – Compare 15 yr of evolved device designs of Integral- Leg-Prosthesis, an attachment system that allows direct skeletal docking of prosthetic limbs. Relevance – Socket method of prosthetic suspension is sometimes suboptimal, especially in cases of young and otherwise active patients with multiple amputations and/or short residual limbs.

3 This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system. J Rehabil Res Dev. 2015;52(4):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.11.0280 Slideshow Project DOI:10.1682/JRRD.2014.11.0280JSP Method Compared device designs used between Jan 1999 and Dec 2013 in 69 patients with transfemoral amputation. Statistically compared infection rate and planned and unplanned surgical interventions using Fisher exact test.

4 This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system. J Rehabil Res Dev. 2015;52(4):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.11.0280 Slideshow Project DOI:10.1682/JRRD.2014.11.0280JSP Results High rate of stoma-associated infections seen in group 1 was dramatically reduced in group 2. Of 39 patients with 42 implants in group 2, none had operative interventions secondary to infection. All group 2 patients remained infection-free without the use of antibiotics by following simple by defined wound-hygiene protocol.

5 This article and any supplementary material should be cited as follows: Juhnke D, Beck JP, Jeyapalina S, Aschoff HH. Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system. J Rehabil Res Dev. 2015;52(4):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.11.0280 Slideshow Project DOI:10.1682/JRRD.2014.11.0280JSP Conclusion Final iteration of osseointegrated intramedullary device with a low energy surface at the soft tissue and prosthesis interface allowed a biologically stable skin stoma that remained infection-free without chronic use of antibiotics. Reduction in infection rate was attributed to clinically based, empirically driven changes in design and surgical techniques.

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