Simmelink Elisabeth K, Rommers Gerardus M, Gardeniers Jean W M, Zijlstra Henk
1University Medical Center Groningen, Center for Rehabilitation, Department of Rehabilitation Medicine, Groningen, The Netherlands.
Prosthet Orthot Int. 2014 Apr;38(2):167-70. doi: 10.1177/0309364613496110. Epub 2013 Aug 28.
The problems of prescribing a prosthesis for a young girl with severe congenital vascular malformation deformity leading to a transtibial amputation.
Due to the high risk of recurrent bleeding and limitations regarding full weight bearing of the stump, a normal socket fitting process was not possible. Using a multidisciplinary approach, a prosthesis was designed to enable full weight bearing in a flexed knee position with ischial tuberosity support to prevent full weight bearing on the tibial part of the stump.
After training and adjustments to the design, a definitive prosthesis with a free motion mechanical knee joint could be used. During the training with this prosthesis, no skin problems were observed, and at the end of the rehabilitation, the patient had a high level of activities of daily living and sports.
The above prosthetic solution with an adjusted socket design proved to be successful in this case. Clinical relevance In a patient with severe congenital vascular malformation deformity leading to a transtibial amputation, fitting of a good prosthesis without full weight bearing of the stump proved to be successful.
为一名因严重先天性血管畸形畸形导致经胫骨截肢的年轻女孩开处方安装假肢的问题。
由于反复出血风险高以及残肢完全负重存在限制，无法进行常规的接受腔适配过程。采用多学科方法，设计了一种假肢，使其能够在屈膝位置通过坐骨结节支撑实现完全负重，以防止残肢胫骨部分完全负重。
经过训练和对设计的调整，可以使用带有自由运动机械膝关节的定制假肢。在使用该假肢训练期间，未观察到皮肤问题，康复结束时，患者的日常生活活动和运动水平较高。
上述调整接受腔设计的假肢解决方案在该病例中被证明是成功的。临床意义 在因严重先天性血管畸形畸形导致经胫骨截肢的患者中，安装无需残肢完全负重的优质假肢被证明是成功的。
