title: The Evaluation of Daily Life Activities after Application of an Osseointegrated Prosthesis Fixation in a Bilateral Transfemoral Amputee: A Case Study.
abstract: Individuals with a transfemoral amputation (TFA) may experience limitations in daily life due to reduced mobility and prosthesis-related problems. An osseointegrated prosthesis fixation (OPF) procedure in amputees might contribute to a solution for patients with short stumps or socket-related problems. To date, no study has specifically described the application of an OPF procedure in individuals with a TFA. This study evaluated the level of daily life activities of a 21-year old service member with a bilateral TFA and cerebral trauma. Due to a short stump length and coordination problems, an OPF procedure was deemed the most suitable option.The result of this procedure and the rehabilitation program showed an increased mobility and satisfaction as obtained by the assessment of life habits questionnaire (LIFE-H) and lower extremity functional scale. The participant was able to walk short distances and the Genium knee provided a stance position. Stair ambulation is impossible because of inadequate muscle capacity.In this specific case we conclude that the quality of life improved through the use of an OPF. However, OPF might not be the appropriate device for every individual with TFA, due to varying bone compositions, co-morbidities, and limited clinical experience and unknown long-term effects.
authors.affiliation: From the Military Rehabilitation Centre Aardenburg, Korte Molenweg 3, 3941 PW, Doorn, The Netherlands (SAFS, NJ, FVDM, WMS, HHA, PVDW); Sana Krankenhaus Süd Klinik für Plastische, Hand- und Rekonstruktive Chirurgie Kronsforder Allee 71-73, 23560 Lübeck, Schleswig-Holstein, Germany (HHA); and Department of Physical Therapy, HU University of Applied Sciences Utrecht, Bolognalaan 101, 3584 CJ, Utrecht, The Netherlands (PVDW).
authors.forename: Stephanie A F
authors.initials: SAF
authors.lastname: Schalk
authors.forename: Niels
authors.initials: N
authors.lastname: Jonkergouw
authors.forename: Fred
authors.initials: F
authors.lastname: van der Meer
authors.forename: Willem M
authors.initials: WM
authors.lastname: Swaan
authors.forename: Horst-H
authors.initials: HH
authors.lastname: Aschoff
authors.forename: Peter
authors.initials: P
authors.lastname: van der Wurff
mesh_terms: D000203:Activities of Daily Living; D000671:Amputation, Surgical / Q000379:methods / Q000523:psychology / Q000534:rehabilitation; D000674:Amputees; D001186:Artificial Limbs / Q000523:psychology; D006801:Humans; D035002:Lower Extremity / Q000293:injuries / Q000601:surgery; D008297:Male; D016348:Osseointegration; D060489:Prosthesis Retention / Q000379:methods*; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult