Amputations of lower extremities and prosthetics
S.V. SERGEEV
National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov, Moscow
Contact details:
Sergeev S.V. — MD, Professor of the Department of Traumatology and Orthopedics
Address: 10 Priorov St., Moscow, Russian Federation, tel.: +7-916-529-65-20, e-mail: sergeev20@mail.ru
Currently, the number of patients with high-energy injuries of large segments of the skeleton is increasing due to road traumas and catаtraumas. The number of patients with vascular pathology and endocrine system disorders is also increasing, which leads to a sharp increase in the number of patients who underwent limb amputation.
The patients who underwent limb amputations present a significant medical and social problem. Stump malformations due to violations of surgical technique during reconstructive operations often complicate prosthetic fitting and the social adaptation of patients in this group.
Limb prosthetics is a complex orthopedic, technical, biomechanical and general medical process, which results in medical and social rehabilitation. The functional results depend on the timing of prosthetics manufacturing. An important condition for safe walking is the preparation of a disabled person from the first days after amputation. An important role in the patient’s rehabilitation is played by the school of walking, the purpose of which is to form the correct stereotype of walking, to teach walking on the prosthesis on various surfaces and to master actions in emergency situations.
Key words: amputation, malformations and diseases of stumps, prosthetics, school of walking.


