Yonsei Med J.  2000 Aug;41(4):512-516. 10.3349/ymj.2000.41.4.512.

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

• Shin JC
• Park CI
• Kim DY
• Choi YS
• Kim YK
• Seong YJ

• KMID: 1067118
• DOI: http://doi.org/10.3349/ymj.2000.41.4.512

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.

Keyword

Paraplegia; transfemoral amputation; prosthetic ambulation

MeSH Terms

Adult
Amputation*
Artificial Limbs*
Case Report
Femur/surgery*
Human
Male
Paraplegia/rehabilitation*
Radial Nerve*