Prosthetic fitting and ambulation in a paraplegic patient with an above-knee amputation.
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.
Herman
T
T
Department of Neuro-Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel.
David
Y
Y
Ohry
A
A
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