Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.
10.3349/ymj.2000.41.4.512
- Author:
Ji Cheol SHIN
1
;
Chang Il PARK
;
Deog Young KIM
;
Young Seok CHOI
;
Yong Kyun KIM
;
Yeon Jae SEONG
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jcsevrm@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Paraplegia;
transfemoral amputation;
prosthetic ambulation
- MeSH:
Adult;
Amputation*;
Artificial Limbs*;
Case Report;
Femur/surgery*;
Human;
Male;
Paraplegia/rehabilitation*;
Radial Nerve*
- From:Yonsei Medical Journal
2000;41(4):512-516
- CountryRepublic of Korea
- Language:English
-
Abstract:
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. 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.
