title: [Prosthesis use in pediatric patients with fibular hipoplasia].
abstract: OBJECTIVE
  To assess the prosthesis adaptability at use of pedestal and transtibial prosthesis, recognize the average average age of amputation surgery, and the complications of the amputation in patients with fibular hemimelia.
  
  
  METHODS
  47 patients were evaluated, initially to adjust pedestal prosthesis and when this was not tolerated, we realize amputation and adaptation of transtibial prosthesis, we valued the average age of amputation surgery, the associate complications and the prosthesis adaptability we use the K system for functional ambulation.
  
  
  RESULTS
  Of the 12 patients to actually use pedestal prosthesis 9 (75%) had a K.2 level, 3 (25%) had a K-3 level, of the 35 patients to use transtibial prosthesis 1 (3%) had a K-2 level, 19 (54%) K-3 level, and 15 (43%) in the K-4 level. The average age to amputation surgery was 3.9 years old, one case had a complication.
  
  
  CONCLUSIONS
  The early prosthesis adaptability provides advantages in the functional ambulation, as demonstrated on the results. The goal of the transtibial amputation is to facilitate the prosthesis adaptability, is due to take advantage of the best functional adaptation the child in the first years of life, circumstance that improves the integral rehabilitation of the patient.
authors.affiliation: Hospital Shriners para Niños, México. mital526@msn.com
authors.forename: Omar Carlos González
authors.initials: OC
authors.lastname: Aparicio
authors.forename: Felipe Haces
authors.initials: FH
authors.lastname: García
authors.forename: Romáin Capdevila
authors.initials: RC
authors.lastname: Leonori
authors.forename: Víctor Rosas
authors.initials: VR
authors.lastname: García
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000671:Amputation, Surgical / Q000534:rehabilitation*; D001186:Artificial Limbs; D002648:Child; D002675:Child, Preschool; D004480:Ectromelia / Q000145:classification / Q000534:rehabilitation* / Q000601:surgery; D005260:Female; D005360:Fibula / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016138:Walking