title: Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.
abstract: 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.
authors.affiliation: Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jcsevrm@yumc.yonsei.ac.kr
authors.forename: J C
authors.initials: JC
authors.lastname: Shin
authors.forename: C
authors.initials: C
authors.lastname: Park
authors.forename: D Y
authors.initials: DY
authors.lastname: Kim
authors.forename: Y S
authors.initials: YS
authors.lastname: Choi
authors.forename: Y K
authors.initials: YK
authors.lastname: Kim
authors.forename: Y J
authors.initials: YJ
authors.lastname: Seong
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D001186:Artificial Limbs; D005269:Femur / Q000601:surgery*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000534:rehabilitation*; D011826:Radial Nerve