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Immediate Postoperative Prosthesis
Immediate Postoperative Prosthesis (IPOP)
The concept of immediate postoperative prosthetic fittings (IPPF) is not new from 1893, (German surgeon von Bier reported fitting) to till now thousands of patients Fitted with temporary prostheses within days of amputation and allowed them to stand and walk.
Many post operative treatment modalities for the transtibial amputee are in current use.
A simple gauze dressing is the treatment of choice for many surgeons.
Another option is compression therapy using an ace bandage or stump shrinker.
A more aggressive approach would include the use of a rigid dressing or an immediate postoperative prosthesis (IPOP).
The latter modality, although documented to offer the highest rate of healing, is possibly the least used because of many factors, including lack of familiarity with the treatment, a fear of placing a hard cast on a vascularly compromised limb, and the need to frequently monitor the wound. The traditional IPOP is a non removable cylinder cast. When the residual limb needs to be inspected, the cast is cut off using a cast saw. Another cast is then fabricated if the IPOP continues to be used.
Ideal Artificial limbs Solution presents a removable IPOP, designed for the diabetic, peripheral vascular disease amputee, that specifically addresses the needs of the surgeon. In addition, the design permits a proactive clinical team approach,enhancing the treatment of the prosthetist and the physical therapist.
Advantages an IPOP may
- Assist in wound healing and residual limb maturation
- Minimize post surgical edema and pain
- Provides psychological benefit of early ambulation
- Reduce phantom pain and the effects of inactivity through controlled weight bearing and ambulation
- Control or prevent knee flexion contracture
- Protect the residual limb from trauma, such as a fall.