Article

The problems of prescribing a prosthesis for a young girl with severe
congenital vascular malformation deformity leading to a transtibial amputation.
METHODS: Due to the high risk of recurrent bleeding and
limitations regarding full weight bearing of the stump, a normal socket fitting
process was not possible. Using a multidisciplinary approach, a prosthesis was
designed to enable full weight bearing in a flexed knee position with ischial
tuberosity support to prevent full weight bearing on the tibial part of the
stump. FINDINGS AND OUTCOMES: After training and adjustments to the design, a
definitive prosthesis with a free motion mechanical knee joint could be used.
During the training with this prosthesis, no skin problems were observed, and at
the end of the rehabilitation, the patient had a high level of activities of
daily living and sports. CONCLUSION: The above prosthetic solution with an
adjusted socket design proved to be successful in this case. Clinical relevance
In a patient with severe congenital vascular malformation deformity leading to a
transtibial amputation, fitting of a good prosthesis without full weight bearing
of the stump proved to be successful.

Langue : ANGLAIS