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Prosthetic fitting and functionality in this class can differ depending on where, between the knee and hip, the amputation exists. The lower the amputation, the greater the lever the prosthetic user has using prosthesis and the more control they have in its usage. The higher the amputation, the less control they have.
There are a number of different types of amputations that describe the location of the amputation. A transhumeral amputation is an above the elbow amputation. It is sometimes referred to as AE. A transradial amputation is a below the elbow amputation. A transfemoral amputation is an above the knee amputation, and is sometimes referred to as AK.
It will include many people such as: Bilateral above knee amputation, or significantly impaired quadriceps, or People with a neurological impairment equivalent to a complete lesion at L3 level, or an incomplete lesion at L1, or A combination of the above such as one leg with around knee amputation and one leg with significant quadriceps ...
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Those with hip articulations are generally classified as 3-point players, while those with slightly longer leg stumps in this class are 3.5-point players. Those above the knee amputees with the longest stumps who use prosthetic legs may be classified as 4-point players. [11] Lower limb amputations effect a person's energy cost for being mobile.
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PTFE is commonly used in bypasses involving arteries at or above the knee. [ 5 ] A 2018 Cochrane review found moderate-quality evidence for improved long term success (60 months) for autologous vein grafts when compared to prosthetic materials for above-knee bypasses. [ 2 ]
An amputation between the knee and ankle joints transecting the tibia, or shinbone, is referred to as a transtibial amputation. In this situation, the patient may retain volitional control over the knee joint. The cause of amputation may dictate the length of the residual limb and the corresponding level of control of the prosthesis.