The ATLAS prosthetic system was tested on 81 trans-tibial amputees in two tropical areas and followed for about two years.
At the conclusion 19% (15/81) had given up its use; mostly because of unsatisfactory socket fit, but in 7% (6/81) system related failures were the cause of non-compliance; mostly because of a shrieking noise from the shin-foot piece during use.
System related failures were encountered in 62% (41/66) of users; the most serious threat to patient safety was fractures of the shank in 39% (26/66) and badly worn feet in 12% (8/66). With a failure rate of about 41% after one and a half years the ATLAS system is considered unacceptable for general use in trans-tibial amputees.
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