Related Factors for the Development of Secondary Complications of Long-Term Lower Limb Prosthesis Users

Abstract

Background: Prosthesis patients individuals who utilize artificial devices to replaces missing body parts face a unique set of challenges and opportunities. This study explores the multifaceted experiences of these patients encompassing secondary complications developed after using prostheses. Aim: To find out the factors related to developing the secondary complications of lower limb prosthesis users. Methodology: A cross-sectional study aims to assess 70 participants in Prosthetics and Orthotics Department at the Centre for the Rehabilitation of the Paralysed (CRP). The study encompassed aged between 18-80 years who have been using lower limb prostheses. Result: Among the 70 participants, the minimum age was 18 and the maximum was 75 years and their mean age was 47.7 ± 17.2 years. The lower limb prosthesis users of the respondents developed secondary complications like a blister, skin irritation, erythema, changes the stump volume, knee pain, and hip pain which was associated with ill socket fitting (P<0.049); gait pattern abnormality due to assistive devices dependency (P<0.044), knee or osteoarthritic complications who’s were obese participants (P< 0.020). Conclusion: Managing secondary complications in prosthesis users requires an MDT approach involving medical professionals, physiotherapists, prosthetists, and mental health experts. Emphasizing more preventive care, proper prosthetic fitting, regular follow-up, and addressing both physical and psychological needs can enhance overall well-being. Keywords: Secondary complications, Lower limb prosthesis, amputation.