Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.
Great importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. This article describes a case of L2 paraplegia with a transfemoral amputation and radial nerve palsy on the right side. Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.
Shin
J C
JC
Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jcsevrm@yumc.yonsei.ac.kr
Park
C
C
Kim
D Y
DY
Choi
Y S
YS
Kim
Y K
YK
Seong
Y J
YJ
D000328:Adult; D000671:Amputation, Surgical; D001186:Artificial Limbs; D005269:Femur / Q000601:surgery*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000534:rehabilitation*; D011826:Radial Nerve