Prosthetic fitting in a patient with a transtibial amputation due to a congenital vascular malformation of the right leg

Simmelink, 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 journalArticleAcademicpeer-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.

Original languageEnglish
Pages (from-to)167-170
Number of pages4
JournalProsthetics and Orthotics International
Issue number2
Publication statusPublished - Apr-2014


  • Lower limb amputation, vascular malformation, lower limb prosthesis, rehabilitation, activities of daily living, LIMB

ID: 16381964