Successful rehabilitation after hip fracture to a patient with previous above-elbow amputation.
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.
Horiuchi
Hiroshi
H
Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Hashimoto
Keiji
K
Uruma
Go
G
Fujita
Goro
G
Soga
Toshio
T
Iizuka
Hisashi
H
Miyano
Satoshi
S
Abo
Masahiro
M
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