title: Development of a cosmetic knee disarticulation prosthesis: A single-patient case study.
abstract: OBJECTIVE
  If a person does not become ambulant after an amputation, a knee disarticulation (KD) shouldbe considered and the person may then benefit from a cosmetic KD prosthesis. The features of a cosmetic KD prosthesis are, however, seldom described. The aim of this clinical note is to describe the development of a cosmeticKD prosthesis.
  
  
  METHODS
  A non-ambulant person with bilateral KD formulated, together with her physiatrist, the criteria for a cosmetic KD prosthesis. On the basis of these, a lightweight, natural-looking, well-fitting, easy-to-put-on and take-off KD prosthesis, with no thigh lengthening during sitting, was made. This prosthesis was fixed on a wheelchair and does not impede transfer.
  
  
  CONCLUSIONS
  A newly constructed cosmetic prosthesis for non-ambulant persons with a KD is described in detail. We hope that this will encourage physiatrists and prosthetists to offer non-ambulant persons with a KD a cosmetic prosthesis.
  
  
  CONCLUSIONS
  A cosmetic leg prosthesis with good cosmetic properties, good sitting comfort, and no restrictions in making transfers is described in detail for non-ambulant persons with a knee disarticulation.
authors.affiliation: Libra Rehabilitation Medicine & Audiology, Tilburg, The Netherlands fajdelaat@live.nl.
authors.forename: Fred A
authors.initials: FA
authors.lastname: de Laat
authors.affiliation: Livit Orthopedic Services, Dordrecht, The Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: de Vos
authors.affiliation: University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Jan
authors.initials: J
authors.lastname: Geertzen
authors.affiliation: Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands.
authors.forename: Leo D
authors.initials: LD
authors.lastname: Roorda
mesh_terms: D000369:Aged, 80 and over; D001186:Artificial Limbs; D004188:Disarticulation / Q000379:methods / Q000534:rehabilitation*; D004954:Esthetics; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000601:surgery; D011474:Prosthesis Design / Q000379:methods*; D017755:Prosthesis Fitting / Q000379:methods; D011788:Quality of Life; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology
keywords: Knee disarticulation; cosmetic appearances; non-ambulant; prosthetic design