title: Prosthetic fitting and ambulation in a paraplegic patient with an above-knee amputation.
abstract: The combination of paraplegia with an above-knee amputation is a complex injury that makes the rehabilitation process difficult. This article describes a case of T12 paraplegia and an above-knee amputation. After the rehabilitation course, the patient achieved full ambulatory independence with an ischial containment, contoured adducted trochanteric controlled alignment method (CATCAM) prosthesis and a knee ankle foot orthosis (KAFO). Difficulties in fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.
authors.affiliation: Department of Neuro-Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: T
authors.initials: T
authors.lastname: Herman
authors.forename: Y
authors.initials: Y
authors.lastname: David
authors.forename: A
authors.initials: A
authors.lastname: Ohry
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000671:Amputation, Surgical / Q000534:rehabilitation*; D001186:Artificial Limbs; D003446:Crutches; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications / Q000534:rehabilitation*; D017755:Prosthesis Fitting; D013924:Thrombophlebitis / Q000150:complications / Q000601:surgery; D014910:Wheelchairs