Introduction HDPE-Jaipur technology beaten aluminum construction sheet HDPE-drainpipe system

2. Factors Affecting Usage and Breakdown of High Density Polyethylene Jaipur Prosthesis Among Transfemoral and Transtibial Amputee Patients

3. Introduction • HDPE-Jaipur technology beaten aluminum construction sheet HDPE-drainpipe system

4. Introduction Philippines : 1989 Mahaveer foundation Free prosthesis for indigent lower limb amputees

5. General Objective: To identify factors that affect usage and breakdown of HDPE-Jaipur prosthesis.

6. Specific Objective: To describe the sociodemographic characteristics of patients using the prosthesis.

7. Specific Objective: To evaluate the patient's level of satisfaction on the prosthetic use.

8. Specific Objective: To assess the craftsmanship and technical quality of the prosthesis.

9. Specific Objective: To determine the significant factors that may influence prosthetic usage and breakdown.

10. Methodology • Design: Cross-sectional study • Study Population: Amputees seen from January to November 2005 • Study Instrument: Questionnaire, Harold Wood Stanmore Score • Study Analysis: • Descriptive • Derived Statistics (Logistic Regression)

11. Methodology

12. Methodology Inquiries on: • Socio-demographic Data • Functional Follow-up • Stump Follow-up • Prosthetic Follow-up • Mobility Status

13. Results • 75 subjects • 69 : transtibial amputees • 6 : transfemoral amputees

14. Results

15. Results

16. Results Sociodemographic background • 36% unemployed • 35% unskilled laborers • 9% skilled workers • 9% students

17. Results Type Of Environment • 49% urban area • 47% dry rural area • 3% wet rural area • 1% seaside

18. Patient satisfaction as to function

19. Patient Satisfaction on Cosmesis

20. Results Technical Quality • Suspension belt • Foot failure • socket component • ill-fitting • Cracks • replacement

21. Results Prosthetic Use (number of hours/day) • Both sexes were able to tolerate wearing the prosthesis > 8 hours • Transtibial amputees wore the prosthesis longer

22. Results Mobility Status • 81%: normal activities • 11% : minor limitations • 8% : major restrictions

23. Results • Harold Wood Stanmore score • 81 % fairly unrestricted mobility • 11 % independent mobility • 7% impaired mobility • 1%limited mobility

24. Results

25. Results

26. Discussion • Socio-demographic profile revealed that majority of the participants were urban dwellers who were either unemployed or unskilled workers. • Gender did not significantly influence the duration of prosthetic use but influenced the walking distance

27. Discussion • Patient satisfaction was high as to the level of function and cosmesis • Majority of the patients were able to do activities of daily living. • The suspension belt was the most commonly damaged prosthetic component.

28. Conclusion HDPE-Jaipur prosthesis is acceptable among the subjects included in the study

29. Recommendation • Production of Jaipur prosthesis should be sustained for patients who are unable to afford the more expensive models. • Improvements on the manufacturing of the prosthetic components prone to breakdown should be considered. • To continue the study for a longer period to obtain a greater sample size.

30. Thank you for your attention.