Structural changes in the thigh muscles following trans-femoral amputation

• Verfasst von: Putz, Cornelia [VerfasserIn]
• Verfasst von: Block, Julia [VerfasserIn]
• Verfasst von: Gantz, Simone [VerfasserIn]
• Verfasst von: Heitzmann, Daniel [VerfasserIn]
• Verfasst von: Dreher, Thomas [VerfasserIn]
• Verfasst von: Lehner, Burkhard [VerfasserIn]
• Verfasst von: Alimusaj, Merkur [VerfasserIn]
• Verfasst von: Wolf, Sebastian Immanuel [VerfasserIn]
• Verfasst von: Müller, Sebastian [VerfasserIn]
• Titel: Structural changes in the thigh muscles following trans-femoral amputation
• Verf.angabe: C. Putz, J. Block, S. Gantz, D.W.W. Heitzmann, T. Dreher, B. Lehner, M. Alimusaj, S.I. Wolf, S. Müller
• E-Jahr: 2017
• Jahr: August 2017
• Umfang: 7 S.
• Fussnoten: Published 21 February 2017 ; Gesehen am 23.10.2018
• Titel Quelle: Enthalten in: European journal of orthopaedic surgery & traumatology
• Ort Quelle: Paris : Springer France, 1991
• Jahr Quelle: 2017
• Band/Heft Quelle: 27(2017), 6, Seite 829-835
• ISSN Quelle: 1432-1068
• DOI: doi:10.1007/s00590-017-1929-5
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Goutallier classification
• Sach-SW: intramuscular fatty degeneration
• Sach-SW: Magnetic resonance imaging
• Sach-SW: Thigh muscles
• Sach-SW: Trans-femoral amputation
• K10plus-PPN: 1582218943

Abstract

IntroductionEarly ambulation is the principal objective in trans-femoral amputees. Postamputation modifications complicate the rehabilitation process due to a reduced control at the interface between stump and prosthesis. The aim of this study is to determine whether magnetic resonance imaging depicts the amount of fatty degeneration of the thigh muscles after trans-femoral amputation (TFA).MethodsA total of 12 patients following a TFA on the basis of a bone neoplasm or metastasis with an evaluable postoperative MRI were identified. Using the Goutallier classification, the fatty degeneration of the thigh muscles was analyzed in the middle (M) and at the distal end (E) of the residual limb at T1 (10.6 months) and T2 (25.6 months).ResultsAnalysis at two different levels showed different grades of fatty degeneration of thigh muscles after TFA at T1 and T2. Comparing fatty degeneration at both levels of the stump, the quadriceps femoris revealed a significant change (p = 0.01) at T1 and M. sartorius and adductor (p = 0.02) at T2.ConclusionsMRI is an excellent diagnostic tool to evaluate fatty degeneration after TFA. The highest amount of fatty degeneration of the quadriceps muscle was monitored within the first 10 months. Early physiotherapy is important to strengthen the remaining stump muscles during rehabilitation.