We report a case of a 60-year-old male with bilateral lower limb amputations who sustained a fracture to his right residual femur after weight bearing on his prosthetic leg during therapy. This was attributed to his raised body mass index that fell in the morbidly obese category.
Patient was referred for orthopaedic management and reviewed by the multidisciplinary prosthetic rehabilitation team following the fracture recovery.
He was deemed unsuitable for further prosthetic usage and ultimately referred to the national weight management service and the bariatric team.
Fracture of the residual limb in an amputee is not a common occurrence. There is a scarcity of information regarding fractures in an amputation stump of obese individuals. This is an unusual case which highlights the significance of body weight on lower limb prosthetic usage, impact on rehabilitation and the need to address weight management at an earlier stage post amputations.
我们报告了一例 60 岁男性患者，该患者因在康复治疗中使用假肢承重而导致右侧残肢股骨骨折。这归因于他的体重指数升高，属于病态肥胖类别。
患者因骨折接受骨科治疗，并在康复后由多学科假肢康复团队进行了评估。
他被认为不适合进一步使用假肢，最终被转介到国家体重管理服务和减重团队。
在截肢患者中，残肢骨折并不常见。有关肥胖个体截肢残端骨折的信息很少。这是一个不寻常的病例，强调了体重对下肢假肢使用的重要性、对康复的影响，以及在截肢后更早进行体重管理的必要性。
