Prosthetic fitting in a patient with a transtibial amputation due to a congenital vascular malformation of the right legSimmelink, E. K., Rommers, G. M., Gardeniers, J. W. M. & Zijlstra, H., Apr-2014, In : Prosthetics and Orthotics International. 38, 2, p. 167-170 4 p.
Research output: Contribution to journal › Article › Academic › peer-review
Background: The problems of prescribing a prosthesis for a young girl with severe congenital vascular malformation deformity leading to a transtibial amputation.
Case description and methods: Due to the high risk of recurrent bleeding and limitations regarding full weight bearing of the stump, a normal socket fitting process was not possible. Using a multidisciplinary approach, a prosthesis was designed to enable full weight bearing in a flexed knee position with ischial tuberosity support to prevent full weight bearing on the tibial part of the stump.
Findings and outcomes: After training and adjustments to the design, a definitive prosthesis with a free motion mechanical knee joint could be used. During the training with this prosthesis, no skin problems were observed, and at the end of the rehabilitation, the patient had a high level of activities of daily living and sports.
Conclusion: The above prosthetic solution with an adjusted socket design proved to be successful in this case.
Clinical relevance In a patient with severe congenital vascular malformation deformity leading to a transtibial amputation, fitting of a good prosthesis without full weight bearing of the stump proved to be successful.
|Number of pages||4|
|Journal||Prosthetics and Orthotics International|
|Publication status||Published - Apr-2014|
- Lower limb amputation, vascular malformation, lower limb prosthesis, rehabilitation, activities of daily living, LIMB