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双侧下肢小儿截肢者的假肢康复:病例报告。

Prosthetic rehabilitation in a bilateral lower limb pediatric amputee: Case report.

机构信息

Physical Medicine and Rehabilitation Department, Universidad del Valle, Cali, Valle del Cauca, Colombia.

出版信息

J Pediatr Rehabil Med. 2022;15(3):539-543. doi: 10.3233/PRM-210005.

Abstract

CASE DESCRIPTION

A 2-month-old child required a bilateral limb amputation, right transtibial, and left transfemoral after a deep burn compromising one-third of the body surface area. Traumatic amputations of lower limbs at such an early age are uncommon and underreported in the literature, especially in middle-income countries.

OBJECTIVE

To describe the long-term follow-up of the prosthetization process after traumatic bilateral amputation of a 2-month-old patient.

TREATMENT

The process started with compensatory prostheses for independent sitting, followed by exoskeletal devices with SACH feet, and finally introduced dynamic feet and knee to achieve progressively independent gait.

OUTCOMES

The patient achieved functionality, autonomy, and social interaction for his age. The habilitation process continues to improve his independent gait and support upcoming life changes.

CONCLUSION

Through a multidisciplinary approach, family support, and timely changes of device components according to the child's development, this patient has been able to achieve a normal life.

摘要

病例描述

一名 2 个月大的婴儿,全身 1/3 面积遭受深度烧伤,需要进行双侧肢体截肢,右侧胫骨截断,左侧股骨截断。如此年幼的儿童发生下肢创伤性截肢的情况并不常见,在文献中报道也较少,尤其是在中等收入国家。

目的

描述一名 2 个月大婴儿因创伤性双侧截肢后的假肢安装过程的长期随访情况。

治疗

该过程从用于独立坐立的补偿性假肢开始,随后使用配备 SACH 脚的外骨骼设备,最后引入动态脚和膝关节,以实现逐渐独立的步态。

结果

该患者达到了与其年龄相符的功能、自主性和社会互动能力。康复过程仍在继续提高他独立行走的能力,并为即将到来的生活变化提供支持。

结论

通过多学科方法、家庭支持以及根据儿童的发育情况及时更换设备部件,这名患者已经能够过上正常的生活。

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