title: Successful rehabilitation after hip fracture to a patient with previous above-elbow amputation.
abstract: We experienced successful rehabilitation of an elderly man after hip fracture (HF) who had had ipsilateral above-elbow amputation. He was a wounded soldier whose right arm had been amputated more than 60 yrs ago, and he had never used a prosthesis. He had been admitted to our hospital because of exacerbation of chronic obstructive pulmonary disease. During his admission, he had a fall-related hip fracture. We devised a special upper-limb prosthesis so that he could hold an ipsilateral crutch to enable appropriate acute-phase rehabilitation for HF. As a result, effects of disuse were prevented and he gained improvement of lower-limb function. The specialized upper-limb prosthesis also reduced his anxiety regarding walking. It can be considered that the prosthesis contributed to his quality of life with regard to activities of daily living after discharge.
authors: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
authors: Hiroshi
authors: H
authors: Horiuchi
authors: Keiji
authors: K
authors: Hashimoto
authors: Go
authors: G
authors: Uruma
authors: Goro
authors: G
authors: Fujita
authors: Toshio
authors: T
authors: Soga
authors: Hisashi
authors: H
authors: Iizuka
authors: Satoshi
authors: S
authors: Miyano
authors: Masahiro
authors: M
authors: Abo
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D001186:Artificial Limbs; D003446:Crutches; D006620:Hip Fractures / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design