title: Prosthetic fitting in a patient with a transtibial amputation due to a congenital vascular malformation of the right leg.
abstract: BACKGROUND
  The problems of prescribing a prosthesis for a young girl with severe congenital vascular malformation deformity leading to a transtibial amputation.
  
  
  METHODS
  Due to the high risk of recurrent bleeding and limitations regarding full weight bearing of the stump, a normal socket fitting process was not possible. Using a multidisciplinary approach, a prosthesis was designed to enable full weight bearing in a flexed knee position with ischial tuberosity support to prevent full weight bearing on the tibial part of the stump.
  
  
  RESULTS
  After training and adjustments to the design, a definitive prosthesis with a free motion mechanical knee joint could be used. During the training with this prosthesis, no skin problems were observed, and at the end of the rehabilitation, the patient had a high level of activities of daily living and sports.
  
  
  CONCLUSIONS
  The above prosthetic solution with an adjusted socket design proved to be successful in this case. Clinical relevance In a patient with severe congenital vascular malformation deformity leading to a transtibial amputation, fitting of a good prosthesis without full weight bearing of the stump proved to be successful.
authors.affiliation: 1University Medical Center Groningen, Center for Rehabilitation, Department of Rehabilitation Medicine, Groningen, The Netherlands.
authors.forename: Elisabeth K
authors.initials: EK
authors.lastname: Simmelink
authors.forename: Gerardus M
authors.initials: GM
authors.lastname: Rommers
authors.forename: Jean W M
authors.initials: JW
authors.lastname: Gardeniers
authors.forename: Henk
authors.initials: H
authors.lastname: Zijlstra
mesh_terms: D000293:Adolescent; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008279:Magnetic Resonance Imaging; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications*; D016474:Weight-Bearing
keywords: Lower limb amputation; activities of daily living; lower limb prosthesis; rehabilitation; vascular malformation