title: Hip prosthesis in sitting posture for bilateral transfemoral amputee after burn injury: a case report.
abstract: BACKGROUND
  To overcome the challenges of rehabilitation of bilateral transfemoral amputees, we developed a novel "hip prosthesis in the sitting posture." Case Description and Methods: A 64-year-old male bilateral transfemoral amputee was transferred for rehabilitation 4 months following a burn injury. His wounds remained unhealed for 20 months; thus, he was unable to participate in standing training with the standard prosthetic sockets. Hip prosthesis in the sitting posture has very little friction between the sockets and residual limbs, which facilitated our patient to begin standing and walking exercises. Findings and Outcomes: The patient's refractory wounds healed 1 month after initiating exercises using hip prosthesis in the sitting posture, and he could begin rehabilitation with the standard prostheses.
  
  
  CONCLUSIONS
  Hip prosthesis in the sitting posture enabled a bilateral transfemoral amputee with unhealed residual limbs to stand, walk, and begin balance training. Hip prosthesis in the sitting posture is an effective temporary prosthesis to prevent disuse until wounds are healed and to continue rehabilitation with standard prostheses. Clinical relevance Hip prosthesis in the sitting posture is useful for bilateral transfemoral amputees with unhealed residual limbs after burn injuries to prevent disuse and maintain motivation for walking.
authors.affiliation: 1 Department of Rehabilitation Medicine, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan.|2 Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors.forename: Yukiyo
authors.initials: Y
authors.lastname: Shimizu
authors.affiliation: 2 Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Mutsuzaki
authors.affiliation: 3 Department of Physical Therapy, Ibaraki Prefectural University Hospital of Health Sciences, Ibaraki, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Maezawa
authors.affiliation: 4 Kowa gishi Laboratory, Ojirahazama, Tsukuba, Ibaraki, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Idei
authors.affiliation: 5 Department of Occupational Therapy, Ibaraki Prefectural University Hospital of Health Sciences, Ibaraki, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Takao
authors.affiliation: 2 Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors.forename: Ryoko
authors.initials: R
authors.lastname: Takeuchi
authors.affiliation: 6 Department of Orthopaedics Surgery, University of Tsukuba Hospital, Ibaraki, Japan.
authors.forename: Shinzo
authors.initials: S
authors.lastname: Onishi
authors.affiliation: 1 Department of Rehabilitation Medicine, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hada
authors.affiliation: 7 Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Yamazaki
authors.affiliation: 8 Department of Rehabilitation Medicine, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Wadano
mesh_terms: D000671:Amputation, Surgical / Q000379:methods* / Q000534:rehabilitation; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001186:Artificial Limbs; D002056:Burns / Q000150:complications*; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning / Q000379:methods*; D011187:Posture; D018570:Risk Assessment; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology
keywords: Bilateral transfemoral amputee; burn injury; hip prosthesis in sitting posture; unhealed residual limb