Twenty-one months' experience with the PF-modified CIR casting system for trans-tibial prostheses.

Abstract

Shortly after the Centre for International Rehabilitation (CIR) casting system was demonstrated in Thailand, the Prostheses Foundation (PF) started modifying this system. To make the process suitable for the Foundation's main activities, namely clinical service at its main workshop, mobile clinics and satellite workshops. Clinical trial. The development of the PF-modified CIR casting system took nine months, with the final PF-system launched in January 2008. Since then it has been used extensively at the Foundation's main workshop and also during mobile clinics. By September 2009, a total of 1030 trans-tibial and Symes prostheses had been made by this system, and the Foundation had trained more than 200 personnel. Personnel training has been widespread and the PF-system is now being implemented at all satellite workshops around Thailand and at a clinic in Acheh province, Indonesia. Using the PF-modified CIR system has simplified the Foundation's work. The PF-modified CIR casting system is demonstrated as the successful method for making of the prosthetic socket. This provides faster and more practical way than the original CIR system which gain the benefit for the amputees who live in the remote area. The PF-modified system can be implemented to other parties who interest as our satellite workshops began to operate this system in their workshops.