Proximal femoral focal deficiency is a rare birth defect that affects the hip bone and the proximal femur. The incidence is one case per 50,000 to 200,000 population. The disorder may be unilateral or bilateral, with the hip being deformed and the leg shortened. The goal of treatment is to provide optimal function during standing and ambulation. A 15-year-old male diagnosed with left proximal femoral focal deficiency was admitted for prosthetic rehabilitation. He presented with a very short left lower extremity, 38 cm leg length discrepancy, flail left hip and knee joints, and normal range of motion at the left ankle, and with muscles graded at 4/5. The patient was independent in transfer activities and ambulated with bilateral axillary crutches. A combination of orthosis and prosthesis (henceforth "prosthosis") was designed for the patient with a mechanical hinge joint to equalize the leg length and to improve lower extremity function during standing and ambulation. Upon discharge, the patient was independent in donning and doffing the prosthesis, was ambulatory using the prosthesis without gait aid but with minimal listing during the stance phase on the prosthesis side. During the patient's two-year follow-up, adjustment of the prosthesis was done to accomodate growth; checking of the prosthesis for mechanical breakdown and anticipatory management of potential musculoskeletal complications and psychosocial concerns on the use of the prosthesis were also done.

Human ; Male ; Adolescent ; Ankle ; Crutches ; Gait ; Goals ; Hip ; Incidence ; Knee Joint ; Leg ; Leg Length Inequality ; Orthotic Devices ; Pelvic Bones ; Prostheses And Implants ; Range Of Motion, Articular ; Walking

Background and Objectives: Virtual learning has been utilized in residency programs to continue training amid the COVID-19 pandemic. This study aimed to determine the knowledge, skills, and attitudes of faculty members and residents of the Department of Rehabilitation Medicine of the Philippine General Hospital towards virtual learning. Method: This is a descriptive cross-sectional study. Respectively, residents and faculty members answered the Online Learning Readiness Scale (OLRS) and Faculty Readiness to Teach Online (FRTO) through Google Forms. Results: Twenty (20) residents and 19 faculty members participated in the study. The majority of the residents preferred asynchronous learning (50%), while faculty members preferred the hybrid mode (74%). Residents’ readiness for online learning was generally high, though problems with easy distractibility (60%) and time management (40%) were revealed. Female residents had higher online communication self-efficacy compared to males (p = 0.0367). Faculty members’ perceived attitude was significantly higher than ability in course design (p = 0.00102), time management (p = 0.00159), and technical competence (p < 0.0001). Males had higher perceived ability in course design (p = 0.0320). Older age groups had lower perceived abilities in course design (p = 0.0301) and technical competence (p = 0.0371). Conclusion This study revealed the levels of readiness of residents and faculty for virtual learning. Finding indicate the need to address both issues by developing programs to enhance faculty’s online teaching abilities and observing best practices to minimize problems such as distractibility. Large-scale studies with longer time frames are also recommended.
Physical and Rehabilitation Medicine ; Internship and Residency ; Education, Distance ; Education, Distance