Article

Individuals with proximal femoral focal deficiency (PFFD) present
with a shortened femur. This report highlights the process used to determine
prosthetic candidacy, a novel use of the International Committee of the Red Cross
(ICRC) prosthetic materials, and subsequent rehabilitation when treating in rural
Haiti. METHODS : An eight-year-old boy with PFFD whose goal
was to walk 'normally' presented with a shortened right leg and typical
foot/ankle. Concerns regarding ability to safely load the leg were mitigated
after finding he could fully load his right limb, control motion, and had no
fractures. FINDINGS AND OUTCOMES: A unique prosthosis incorporating a donated
hinged ankle-foot orthosis, ICRC materials and a SACH foot was fabricated.
Physical therapy followed for two weeks, progressing from static weight-bearing
and gait training to dynamic balance activities. At discharge, the patient walked
independently using the prosthosis and one forearm crutch. CONCLUSION: Through
collaboration and innovation rehabilitation goals can be realized even when
presented with limited resources. Clinical relevance Through collaboration and
innovation novel prosthetic designs incorporating materials from the
International Committee of the Red Cross can be created and rehabilitation goals
can be realized even when presented with limited resources.

Langue : ANGLAIS