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Innovations in Amputation Care

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1504

Special Issue Editors

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria
Interests: bone anchored implants; ewing amputation; musculoskeletal oncologic surgery; patient reported outcomes analysis; rehabilitation; gait analysis; TMR, RPNI
Special Issues, Collections and Topics in MDPI journals
Department of Trauma Surgery, Medical School Hannover, Hannover, Germany
Interests: amputation surgery; peripheral nerve surgery; prosthetics; human–machine interfaces
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Due to increasing numbers of vascular and metabolic disease, continuous military conflicts worldwide, and failing former limb-salvaging reconstructions, amputation is one of the most common surgical interventions in hospital operating rooms worldwide. These numbers underline the need for developments in amputation surgery and rehabilitation. Patients‘ needs to regain their body integrity and restart their daily activities after limb loss are manifold—as are their etiologies. Providing successful amputation medicine is therefore only possible in both a highly specialized but also multidisciplinary setting with an awareness of linking the interfaces between the patient, surgeons, orthopedic technicians, ergo-physio- and pain therapist as well as psychologists in a timely manner. Rehabilitation starts with a multiprofessional team in the planning of the surgery and/or fitting: informed patient consent, involving peers, appropriate postoperative care with early shaping of the residual limb, evaluation using computer-assisted gait analysis for the selection of the appropriate prosthesis, and adaption to the rehabilitation training of upcoming techniques such as motor imagery. Innovations such as targeted muscle or sensory reinnervation (TMR, TSR), bone anchored prosthesis (BAP), agonist–antagonist myoneural interface (AMI), and regenerative peripheral nerve interfaces (RPNI) are examples of the successful and innovative confluence of surgery and technology, which can be used for enhanced functionality and acceptance of the prothesis and seem to decrease amputation-related pain. Digital transformation including technologies as wearables and virtual reality might be essential in the field of amputation care to link individual patient needs with modern technical equipment and rehabilitative arrangements to finally improve the patient (-reported) outcome.

You may choose our Joint Special Issue in Medicina.

Dr. Gerhard M. Hobusch
Dr. Jennifer Ernst
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bone-anchored prosthesis
  • targeted muscle reinnervation
  • amputation medicine
  • targeted sensory reinnervation
  • artificial intelligence
  • motor imagery
  • digital transformation
  • patient-reported outcome measurement

Published Papers (1 paper)

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Research

14 pages, 878 KiB  
Article
A Comparison of Objectively Measured Free-Living Physical Behaviour in Adults with and without Lower Limb Amputation
Int. J. Environ. Res. Public Health 2023, 20(13), 6198; https://doi.org/10.3390/ijerph20136198 - 21 Jun 2023
Viewed by 929
Abstract
Objectively monitored free-living physical behaviours of adults with and without lower limb amputation (LLA) were compared. Methods: 57 adults with LLA wore an activPAL3™ for 8 days. A comparison data set (n = 57) matched on gender, age and employment status was [...] Read more.
Objectively monitored free-living physical behaviours of adults with and without lower limb amputation (LLA) were compared. Methods: 57 adults with LLA wore an activPAL3™ for 8 days. A comparison data set (n = 57) matched on gender, age and employment status was used. Variables included: time sitting; standing; stepping; sit-to-stand transitions; step count and cadence. Comparisons were made between adults with and without LLA and between gender, level and cause of amputation. Results: Participants with LLA due to trauma versus circulatory causes were less sedentary and more active; however, no difference in physical behaviour was recorded across gender or level of amputation. Participants with LLA spent more time sitting (p < 0.001), less time standing and stepping (p < 0.001) and had a lower step count (p < 0.001). Participants with LLA took more steps in cadence bands less than 100 steps·min−1 and fewer steps in cadence bands greater than 100 steps·min−1 compared to participants without LLA. Conclusions: People with LLA were less active and more sedentary than people without LLA and participated in less activity at a moderate or higher intensity when matched on age, gender and employment. Interventions are needed to promote active lifestyles in this population. Full article
(This article belongs to the Special Issue Innovations in Amputation Care)
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