title: Limb deficiency and prosthetic management. 1. Decision making in prosthetic prescription and management.
abstract: This self-directed learning module highlights decision making in prosthetic management in pediatric and adult patients. This chapter reviews classification of congenital limb deficiency and management of congenital pediatric upper-extremity amputees. Differences in management of amputees of various ages from infancy to old age is discussed. Case examples are used to formulate prosthetic prescriptions for transradial limb deficiency as well as knee disarticulation and transtibial level amputations. Common prosthetic gait deviations and anticipated functional levels are evaluated.
  
  
  OBJECTIVE
  To discuss prosthetic prescription and management in congenital limb deficiency and acquired amputations for patients of various ages.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI 48108, USA. vsnelson@umich.edu
authors.forename: Virginia S
authors.initials: VS
authors.lastname: Nelson
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Flood
authors.forename: Phillip R
authors.initials: PR
authors.lastname: Bryant
authors.forename: Mark E
authors.initials: ME
authors.lastname: Huang
authors.forename: Paul F
authors.initials: PF
authors.lastname: Pasquina
authors.forename: Toni L
authors.initials: TL
authors.lastname: Roberts
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000534:rehabilitation*; D001186:Artificial Limbs; D004480:Ectromelia / Q000503:physiopathology / Q000534:rehabilitation*; D005684:Gait / Q000502:physiology; D006801:Humans; D007223:Infant; D008297:Male