{"id":357,"date":"2017-12-18T07:47:12","date_gmt":"2017-12-18T06:47:12","guid":{"rendered":"https:\/\/www.ortos.dk\/ny-hylsterteknik-laarbensamputerede-beviser-sit-vaerd\/"},"modified":"2024-02-16T13:55:08","modified_gmt":"2024-02-16T12:55:08","slug":"ny-hylsterteknik-laarbensamputerede-beviser-sit-vaerd","status":"publish","type":"post","link":"https:\/\/www.ortos.dk\/ny-hylsterteknik-laarbensamputerede-beviser-sit-vaerd\/","title":{"rendered":"SIS hylsterteknik til l\u00e5rbensamputerede beviser sit v\u00e6rd"},"content":{"rendered":"<section class=\"bde-section-357-100 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-101 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-image-357-102 bde-image\">\n  \n\n\n\n\n\n<figure class=\"breakdance-image breakdance-image--214\">\n\t<div class=\"breakdance-image-container\">\n\t\t<div class=\"breakdance-image-clip\">\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t      \n  \n  \n  \n  \n      \n      <img loading=\"lazy\" decoding=\"async\"\n      class=\"breakdance-image-object\"\n      src=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/12\/ICS_SIS_425.jpg\"\n      width=\"425\"\n      height=\"342\"\n      alt=\"ICS_SIS_hylster_benprotese\"\n      \n                                    srcset=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/12\/ICS_SIS_425.jpg 425w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/12\/ICS_SIS_425-300x241.jpg 300w\"\n                                                                      >\n  \n\n\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t<\/figure>\n\n<\/div><div class=\"bde-table-of-contents-357-103 bde-table-of-contents\">\n<div class=\"bde-table-of-contents__wrapper\">\n  <header class=\"bde-table-of-contents__header\">\n        <h3 class=\"bde-table-of-contents__title toc-ignore\">Artiklens indhold<\/h3>\n           <\/header>\n  \n  <div class=\"bde-table-of-contents__list\">\n    <nav id=\"bde-toc\" class=\"toc js-breakdance-toc\" aria-label=\"Artiklens indhold\">There are no headings in this document.<\/nav>\n  <\/div>\n<\/div>\n\n\n<\/div><div class=\"bde-rich-text-357-104 bde-rich-text breakdance-rich-text-styles\">\n<h2>De f\u00f8rste 50 kunder er forsynet<\/h2><p>I 2017 er der g\u00e5et et \u00e5r, siden Ortos\u2019 protesebandagister \u2013 som de f\u00f8rste i Danmark \u2013 blev <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.ortos.dk\/ortos-foerst-ny-hylsterteknik\/\"><strong>certificeret i en ny teknik<\/strong><\/a> til at formgive l\u00e5rbenshylstre.<\/p><p>Hvis du ikke l\u00e6ste med i oktober 2016, skal du vide, at hylsteret er udviklet af professor Stefania Fatone og bandagist Ryan Caldwell fra Northwestern University i Chicago, Illinois. Det h\u00f8rer under kategorien SIS <em>(subischial socket), <\/em>og det har f\u00e5et det knap s\u00e5 mundrette navn&nbsp;<em>Northwestern University Flexible Subischial Vacuum Socket (eller NU-FlexSIV).<\/em><\/p><p>For nemheds skyld siger vi blot SIS.<\/p><p>Siden vi blev certificeret, har vi forsynet mere end 50 amputerede med SIS, og teknikkens ophavs-m\u00e6nd har publiceret flere videnskabelige studier.<\/p>\n<\/div>\n<\/div><\/div>\n<\/section><section class=\"bde-section-357-105 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-106 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-columns-357-107 bde-columns\"><div class=\"bde-column-357-108 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-rich-text-357-109 bde-rich-text breakdance-rich-text-styles\">\n<h2>Brugertilfredshed er pr\u00f8vesten<\/h2><p>Et af disse studier er s\u00e6rligt interessant, da det handler om brugertilfredshed. Fatone og Caldwell forsyner deres fors\u00f8gspersoner med SIS og evaluerer deres tilfredshed ved hj\u00e6lp af:<\/p><ol><li><p>Ganganalyse i 3D<\/p><\/li><li><p>Testmetoderne&nbsp;<em>socket comfort score<\/em> og <em>performance based outcome scores.<\/em><\/p><\/li><\/ol><p>I denne artikel kan du&nbsp;l\u00e6se om, hvad studiet konkluderer om SIS, og hvordan bandagister og brugere oplever hylsteret.<\/p>\n<\/div>\n<\/div><div class=\"bde-column-357-110 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-image-357-111 bde-image\">\n  \n\n\n\n\n\n<figure class=\"breakdance-image breakdance-image--2014\">\n\t<div class=\"breakdance-image-container\">\n\t\t<div class=\"breakdance-image-clip\">\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t      \n  \n  \n  \n  \n      \n      <img loading=\"lazy\" decoding=\"async\"\n      class=\"breakdance-image-object\"\n      src=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/SIS_425.jpg\"\n      width=\"425\"\n      height=\"537\"\n      alt=\"SIS_hylster_teknik_benprotese\"\n      \n                                    srcset=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/SIS_425.jpg 425w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/SIS_425-237x300.jpg 237w\"\n                                                                      >\n  \n\n\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t<\/figure>\n\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/section><section class=\"bde-section-357-112 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-113 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-columns-357-114 bde-columns\"><div class=\"bde-column-357-115 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-rich-text-357-116 bde-rich-text breakdance-rich-text-styles\">\n<h2>Kontakt til siddeknoglen<\/h2><p>Det springende punkt i Fatones og Caldwells hylsterdesign er, at det er den subischiale type <em>(subischial socket)<\/em>.<\/p><p>For at se pointen i denne m\u00e5 man kende alternativet, nemlig de s\u00e5kaldte&nbsp;<em>ischial containment sockets<\/em> (ICS)<\/p><p>Konventionelle hylstre<em>&nbsp;(ICS)<\/em>&nbsp;er sk\u00e5ret s\u00e5 h\u00f8jt p\u00e5 benstumpen, at brugerens siddeknogle er i kontakt med hylsterets \u00f8verste kant. I nogle tilf\u00e6lde hviler den blot p\u00e5 p\u00e5 kanten, i andre er siddeknoglen omsluttet af hylsteret.<\/p><p>Uanset denne variation rejser konventionelle hylstre ofte tre problematikker:<\/p><ul><li><p>De h\u00e6mmer bev\u00e6gelighed i hoften<\/p><\/li><li><p>De slider p\u00e5 benstumpen<\/p><\/li><li><p>De kan v\u00e6re ubekvemme for brugeren<\/p><\/li><\/ul>\n<\/div><div class=\"bde-blockquote-357-120 bde-blockquote\">\n      <p class=\"above-text_blockquote-icon\"><span class=\"blockquote-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" id=\"icon-quotes-left\" viewBox=\"0 0 32 32\">\r\n<path d=\"M7.031 14c3.866 0 7 3.134 7 7s-3.134 7-7 7-7-3.134-7-7l-0.031-1c0-7.732 6.268-14 14-14v4c-2.671 0-5.182 1.040-7.071 2.929-0.364 0.364-0.695 0.751-0.995 1.157 0.357-0.056 0.724-0.086 1.097-0.086zM25.031 14c3.866 0 7 3.134 7 7s-3.134 7-7 7-7-3.134-7-7l-0.031-1c0-7.732 6.268-14 14-14v4c-2.671 0-5.182 1.040-7.071 2.929-0.364 0.364-0.695 0.751-0.995 1.157 0.358-0.056 0.724-0.086 1.097-0.086z\"\/>\r\n<\/svg><\/span><\/p>\n    <p >I starten virker det lidt umuligt at l\u00e6re at bruge protesen, men det kommer med noget tr\u00e6ning, og s\u00e5 er det n\u00e6rmest fantastisk.<br><br>Det er ogs\u00e5 rigtig godt at cykle med hylsteret, fordi de bl\u00f8de kanter ikke skader mine bukser ret meget. Og jeg sidder godt, selv p\u00e5 h\u00e5rde underlag.<\/p>\n    <cite >Ingeni\u00f8r og l\u00e5rbensamputeret, Erik Pedersen<\/cite>\n\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/section><section class=\"bde-section-357-121 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-122 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-columns-357-123 bde-columns\"><div class=\"bde-column-357-124 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-rich-text-357-125 bde-rich-text breakdance-rich-text-styles\">\n<h4>Hvad brugerens fordele?<\/h4><p>Fatone og Caldwells p\u00e5stand er netop, at deres hylster \u2013 i kraft af sit s\u00e6rlige design \u2013 minimerer de typiske gener fra konventionelle l\u00e5rbenshylstre.<\/p><ul><li><p>Siddeknoglen g\u00e5r fri af hylsteret, s\u00e5 hoften kan bev\u00e6ge sig frit<\/p><\/li><li><p>Vakuum-systemet, som fastg\u00f8r protesen til benstumpen, fordeler trykket ensartet og reducerer friktion mellem hylster og stump<\/p><\/li><li><p>Brugeren oplever selvsagt st\u00f8rre komfort, b\u00e5de g\u00e5ende og siddende<\/p><\/li><\/ul><p>Testpersonerne erkl\u00e6rer sig enige, og de kunder, vi har forsynet med SIS oplever samme fordele.<\/p>\n<\/div>\n<\/div><div class=\"bde-column-357-126 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-image-357-127 bde-image\">\n  \n\n\n\n\n\n<figure class=\"breakdance-image breakdance-image--1902\">\n\t<div class=\"breakdance-image-container\">\n\t\t<div class=\"breakdance-image-clip\">\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t      \n  \n  \n  \n  \n      \n      <img loading=\"lazy\" decoding=\"async\"\n      class=\"breakdance-image-object\"\n      src=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/NU-FlexSIV-FlexibleSocket.jpg\"\n      width=\"350\"\n      height=\"350\"\n      alt=\"NU-FlexSIV-FlexibleSocket\"\n      \n                                    srcset=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/NU-FlexSIV-FlexibleSocket.jpg 350w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/NU-FlexSIV-FlexibleSocket-300x300.jpg 300w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2024\/01\/NU-FlexSIV-FlexibleSocket-150x150.jpg 150w\"\n                                                                      >\n  \n\n\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t<\/figure>\n\n<\/div>\n<\/div><\/div><div class=\"bde-blockquote-357-128 bde-blockquote\">\n      <p class=\"above-text_blockquote-icon\"><span class=\"blockquote-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" id=\"icon-quotes-left\" viewBox=\"0 0 32 32\">\r\n<path d=\"M7.031 14c3.866 0 7 3.134 7 7s-3.134 7-7 7-7-3.134-7-7l-0.031-1c0-7.732 6.268-14 14-14v4c-2.671 0-5.182 1.040-7.071 2.929-0.364 0.364-0.695 0.751-0.995 1.157 0.357-0.056 0.724-0.086 1.097-0.086zM25.031 14c3.866 0 7 3.134 7 7s-3.134 7-7 7-7-3.134-7-7l-0.031-1c0-7.732 6.268-14 14-14v4c-2.671 0-5.182 1.040-7.071 2.929-0.364 0.364-0.695 0.751-0.995 1.157 0.358-0.056 0.724-0.086 1.097-0.086z\"\/>\r\n<\/svg><\/span><\/p>\n    <p >SIS fra Fatone og Caldwell skiller sig ud p\u00e5 flere punkter. For det f\u00f8rste er det min erfaring, at skiftet fra ICS til SIS stiller store krav til brugeren. Med SIS skal man i h\u00f8jere grad bruge sine muskler for at f\u00e5 stabilitet, og det kr\u00e6ver b\u00e5de vilje og motivation at tr\u00e6ne musklerne op i startfasen.<br><br>For det andet er deres metode s\u00e5 velbeskrevet, at man f\u00e5r et meget ensartet produkt fra gang til gang. Det kommer den enkelte patient til gode, n\u00e5r han eller hun skal have ny protese, og som bandagist oplever jeg det samme p\u00e5 tv\u00e6rs af patienter.<\/p>\n    <cite >Autoriseret bandagist, Christian Neumann<\/cite>\n\n<\/div>\n<\/div><\/div>\n<\/section><section class=\"bde-section-357-129 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-130 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-columns-357-131 bde-columns\"><div class=\"bde-column-357-132 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-rich-text-357-133 bde-rich-text breakdance-rich-text-styles\">\n<h2>Er der en pris at betale?<\/h2><p>Det er v\u00e6sentligt at pointere, at SIS ikke betyder en forringet gangfunktion, da kritikere typisk vil indvende, at den manglende kontakt til siddeknoglen g\u00e5r h\u00e5rdt ud over brugerens stabilitet og dermed gangfunktion.<\/p><p>Denne anke im\u00f8dekommer Fatone og Caldwell med et andet interessant studie, hvor de stiller skarpt p\u00e5 gipsafst\u00f8bningen, som er s\u00e5 afg\u00f8rende for hylsterets pasform og funktion.<\/p><p>Med afs\u00e6t i computerst\u00f8ttet design og produktion (CAD\/ CAM) udvikler de en s\u00e5kaldt modellerings-algoritme, bandagisten skal g\u00e5 frem efter. Ved s\u00e5ledes at gipse efter Fatone og Caldwells instrukser, f\u00e5r hylsteret en optimal pasform til benstumpen og f\u00f8lgelig har brugeren god kontrol over protesen.<\/p><p>Vores protesebandagister bakker op om, at gangfunktionen ikke forringes, men tilf\u00f8jer, at SIS stiller store krav til brugeren i den f\u00f8rste tid. For at opn\u00e5 stabiliteten skal brugeren l\u00e6re at bruge sine muskler p\u00e5 en anden m\u00e5de, og det kr\u00e6ver b\u00e5de vilje og motivation at tr\u00e6ne sig selv op fysisk.<\/p><h2>Vi tilbyder ogs\u00e5 DS-hylstre<\/h2><p>Ud over det konventionelle hylster og SIS hylstret, kan Ortos Bandagister ligeledes tilbyde et helt tredje hylster, som b\u00e5de kan bruges af underbensamputerede og l\u00e5rbensamputerede. Hylstret kaldes <a target=\"_self\" href=\"https:\/\/www.ortos.dk\/direct-socket\/\"><strong>DS (Direckt Socket)<\/strong><\/a> og en af de store fordele ved det type hylster er, at det st\u00f8bes direkte p\u00e5 en liner, der sidder p\u00e5 benstumpen. Derved kan du f\u00e5 dit nye hylster med hjem samme dag, du kommer ind og f\u00e5r lavet afst\u00f8bningen. Uden at skulle gennemg\u00e5 en periode med testhylstre mm.<\/p>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/section><div class=\"bde-section-357-135 bde-section\">\n  \n\t\n\n\n\n<div class=\"section-container\"><div class=\"bde-div-357-136 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-div-357-144 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-columns-357-145 bde-columns\"><div class=\"bde-column-357-146 bde-column\">\n  \n\t\n\n\n\n<div class=\"bde-image-357-147 bde-image\">\n  \n\n\n\n\n\n<figure class=\"breakdance-image breakdance-image--1258\">\n\t<div class=\"breakdance-image-container\">\n\t\t<div class=\"breakdance-image-clip\">\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t      \n  \n  \n  \n  \n      \n      <img loading=\"lazy\" decoding=\"async\"\n      class=\"breakdance-image-object\"\n      src=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-scaled.jpg\"\n      width=\"2560\"\n      height=\"1888\"\n      alt=\"Ikon_laes-mere\"\n      \n                                    srcset=\"https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-scaled.jpg 2560w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-300x221.jpg 300w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-1024x755.jpg 1024w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-768x566.jpg 768w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-1536x1133.jpg 1536w, https:\/\/www.ortos.dk\/wp-content\/uploads\/2023\/09\/Ikon_laes-mere-2048x1511.jpg 2048w\"\n                                                                      >\n  \n\n\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t<\/figure>\n\n<\/div>\n<\/div><div class=\"bde-column-357-148 bde-column\">\n  \n\t\n\n\n\n<h2 class=\"bde-heading-357-149 bde-heading\">\nVil du vide mere om Direct Socket?\n<\/h2><div class=\"bde-text-357-150 bde-text\">\nHos Ortos er vores protesebandagister certificeret i direct socket-teknikken, s\u00e5 t\u00f8v ikke med at kontakte din lokale afdeling.\n<\/div><div class=\"bde-div-357-151 bde-div\">\n  \n\t\n\n\n\n<div class=\"bde-button-357-152 bde-button\">\n    \n                                    \n    \n    \n    \n    \n            \n                    \n            \n            \n\n    \n    \n    \n    \n    <a class=\"breakdance-link button-atom button-atom--primary bde-button__button\" href=\"\/direct-socket\/\" target=\"_self\" data-type=\"url\"  >\n\n    \n        <span class=\"button-atom__text\">L\u00e6s mere<\/span>\n\n        \n        \n                <\/a>\n\n    \n\n\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>SIS hylstret anvendes til l\u00e5rbensamputerede og Ortos&#8217; protesebandagister er certificerede i teknikken og har derved en bred palette af hylstre, de kan tilbyde benamputerede.<\/p>\n","protected":false},"author":2,"featured_media":214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"categories":[21],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/posts\/357"}],"collection":[{"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/comments?post=357"}],"version-history":[{"count":3,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/posts\/357\/revisions"}],"predecessor-version":[{"id":2273,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/posts\/357\/revisions\/2273"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/media\/214"}],"wp:attachment":[{"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/media?parent=357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/categories?post=357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ortos.dk\/wp-json\/wp\/v2\/tags?post=357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}