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Prosthetic rehabilitation of amputated hallux after distraction osteogenesis

The great toe helps in maintaining body balance during standing,
walking, running, dancing, and so on. METHODS: A 22 year-old
female patient reported to the department, one month after losing her left hallux
in a road accident. Anatomical reconstruction was performed with distraction
osteogenesis. The prosthesis was constructed using a wax pattern of the normal
hallux to create a silicone prosthesis. The residual limb mold was altered to
increase prosthesis retention.
The procedure was
economical, conserved materials, and produced lifelike anatomy without requiring
artistic expertise. CONCLUSION: Distraction osteogenesis helped in improving
function and retention of the prosthesis. Satisfactory esthetic and functional
results were observed at the one-year follow-up. CLINICAL RELEVANCE: Distraction
osteogenesis of the amputated hallux improved prosthetic prognosis by aiding
retention. Modifications were made in the conventional prosthesis fabrication
technique to increase retention, as the hallux is in constant movement and/or friction.

Langue : ANGLAIS

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