Prosthetic ambulation in a paraplegic patient with a

Yonsei medical journal · Aug 2000

Case Reports

Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.

Great importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. ⋯ Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.

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- J C Shin, C Park, D Y Kim, Y S Choi, Y K Kim, and Y J Seong.
- Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jcsevrm@yumc.yonsei.ac.kr
- Yonsei Med. J. 2000 Aug 1; 41 (4): 512516512-6.
AbstractGreat importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. This article describes a case of L2 paraplegia with a transfemoral amputation and radial nerve palsy on the right side. Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.

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Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.

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