From the Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine (HH, TK, NF, EK, TT, SF, KN, RK, TA); Division of Orthopaedic Surgery, Kobe University International Clinical Cancer Research Center (TK); Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine (YS); and Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences (TA), Kobe, Japan.
Am J Phys Med Rehabil. 2018 Oct;97(10):e90-e92. doi: 10.1097/PHM.0000000000000894.
An infant boy underwent hip disarticulation for infantile fibrosarcoma immediately after birth. His rehabilitation began when he was 4 mos old and involved training with his left (residual) leg. He could stand with support at 12 mos. His initial prosthesis fitting was performed at the age of 13 mos. He could stand and walk with support at 15 mos of age and could walk with no additional support and go up and down stairs at 2 yrs. A single-axis prosthetic knee joint was introduced at the age of 2 yrs 3 mos. His first gait using a hip prosthesis was successful, and his prosthesis was replaced at appropriate intervals with no major problems. The authors believe that the key to achieving a successful prosthetic gait in children is good communication among the medical team, which should comprise an orthopedic doctor, rehabilitation doctor, nurse, physical therapist, prosthetist/orthotist, and the patient's parents.
一名男婴出生后即因婴儿型纤维肉瘤行髋关节离断术。他从 4 个月大开始接受康复治疗，使用左腿（残肢）进行训练。12 个月大时他可以在支撑下站立。13 个月大时进行了最初的假肢适配。15 个月大时他可以在支撑下站立和行走，无需额外支撑即可行走，并可以上下楼梯。2 岁 3 个月时引入了单轴假肢膝关节。他第一次使用髋关节假体成功行走，此后按照适当的间隔更换假体，没有出现重大问题。作者认为，儿童实现成功的假肢步态的关键是医疗团队之间的良好沟通，该团队应由骨科医生、康复医生、护士、物理治疗师、假肢矫形师和患者的父母组成。
