Management of proximal femoral focal deficiency with limited resources in Haiti.

Abstract:

BACKGROUND: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. CASE DESCRIPTION AND 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.

journal_name

Prosthet Orthot Int

authors

Lamberg EM,Collins CK,Hanks JE,Alaniz MB

doi

10.1177/0309364612447095

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

58-64

issue

1

eissn

0309-3646

issn

1746-1553

pii

0309364612447095

journal_volume

37

pub_type

杂志文章
  • Powered prosthetic hands in very young children.

    abstract::Myoelectric prostheses are generally not provided in the United Kingdom for children before the age of 3 1/2 years. Following the introduction of a smaller sized electric hand in the United Kingdom in 1993 the authors decided to introduce electrically powered hands for a group of congenital upper limb deficient childr...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649809164477

    authors: Datta D,Ibbotson V

    更新日期:1998-08-01 00:00:00

  • Carbon fibre reinforced plastic knee-ankle-foot orthosis with a partially flexible thigh cuff: a modification for comfort while sitting on a toilet seat.

    abstract::At the request of a polio survivor, a partially flexible thigh cuff made of leather and canvas for a carbon KAFO was devised to allow the wearer to feel more comfortable while sitting on a toilet seat. The original, acrylic resin, thigh cuff was partially excised to make an opening (15x10 cm), which was stuffed with r...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640600863844

    authors: Hachisuka K,Arai K,Arai M

    更新日期:2007-06-01 00:00:00

  • Mathematical modelling and field trials of an inexpensive endoskeletal above-knee prosthesis.

    abstract::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649209164323

    authors: Mohan D,Sethi PK,Ravi R

    更新日期:1992-08-01 00:00:00

  • Analysis of the swing phase dynamics and muscular effort of the above-knee amputee for varying prosthetic shank loads.

    abstract::The purpose of this study was to determine the effect of varying prosthetic shank mass, while maintaining the mass centre location and moment of inertia, on the swing phase kinematics, kinetics and hip muscular effort of free speed above-knee (AK) amputee gait. Six AK amputees, wearing similar prosthetic designs, had ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649009080338

    authors: Hale SA

    更新日期:1990-12-01 00:00:00

  • Using NetMeeting for remote configuration of the Otto Bock C-Leg: technical considerations.

    abstract::Telehealth has the potential to be a valuable tool for technical and clinical support of computer controlled prosthetic devices. This pilot study examined the use of Internet-based, desktop video conferencing for remote configuration of the Otto Bock C-Leg. Laboratory tests involved connecting two computers running Mi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640208726638

    authors: Lemaire ED,Fawcett JA

    更新日期:2002-08-01 00:00:00

  • A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy.

    abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1080/03093640108726609

    authors: Bill M,McIntosh R,Myers P

    更新日期:2001-12-01 00:00:00

  • Variability of kinetic variables during gait in unilateral transtibial amputees.

    abstract:BACKGROUND:Prosthetic gait increases demands on stability. Some variability measures can be used to investigate the stability of movement for prosthetic feet. OBJECTIVES:The purpose of this study was to determine the influence of the prosthetic foot on ground reaction force variability for transtibial amputee gait. S...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364612439572

    authors: Svoboda Z,Janura M,Cabell L,Elfmark M

    更新日期:2012-06-01 00:00:00

  • Weight bearing and velocity in trans-tibial and trans-femoral amputees.

    abstract::The purpose of this study was to review the clinical utility of static weight bearing (SWB) and maximal self-selected ambulatory velocity as objective quantifiable measures in an outpatient lower limb prosthetic clinic. Seventy-three (n = 73) consecutive trans-tibial (TTA) and trans-femoral amputees (TFA) attending an...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章

    doi:10.3109/03093649709164553

    authors: Jones ME,Bashford GM,Mann JM

    更新日期:1997-12-01 00:00:00

  • Evaluation of the psychophysical detection threshold level for vibrotactile and pressure stimulation of prosthetic limbs using bone anchorage or soft tissue support.

    abstract::In the present study the psychophysical detection threshold levels mechanical stimulation of 32 prosthetic limbs were determined. Prosthetic limbs were anchored to the bone by means of an implant (n=17) or supported by a socket enclosing the amputation stump (n=15). Detection threshold levels were assessed for pressur...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章

    doi:10.1080/03093640008726536

    authors: Jacobs R,Brånemark R,Olmarker K,Rydevik B,Van Steenberghe D,Brånemark PI

    更新日期:2000-08-01 00:00:00

  • Scientific validation of two commercial pressure sensor systems for prosthetic socket fit.

    abstract::The concept of measuring pressure at the interface between the stump and the prosthetic socket could provide valuable information in the process of prosthetic socket fabrication, modification, and fit. Two systems, the Rincoe Socket Fitting System (SFS) and Tekscan's F-Socket Pressure Measurement System, have been com...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640008726523

    authors: Polliack AA,Sieh RC,Craig DD,Landsberger S,McNeil DR,Ayyappa E

    更新日期:2000-04-01 00:00:00

  • A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics.

    abstract:BACKGROUND:The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defin...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364617729925

    authors: Jarl G,Ramstrand N

    更新日期:2018-10-01 00:00:00

  • The treatment of longitudinal ulnar deficiency.

    abstract::Longitudinal ulnar deficiency, whose detailed anatomy is varied, is often accompanied by other abnormalities and appears as part of several syndromes. The history of its classification is reviewed, and the treatments, which have been offered, described. Follow-up of a series shows that the function achieved is good an...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649109164643

    authors: Lovett RJ

    更新日期:1991-08-01 00:00:00

  • Multifunctional above-knee prosthesis for stairs' walking.

    abstract::The multifunctional above-knee prosthesis WLP-7R (Waseda Leg Prosthesis - type 7 Refined) described in this study allows amputees to descend and ascend stairs with no external power sources. With the hydraulic circuit mounted in the shank, the ankle joint and the knee joint mutually conterbalance during stance phase i...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648709078198

    authors: Koganezawa K,Fujimoto H,Kato I

    更新日期:1987-12-01 00:00:00

  • Manufacturing custom-contoured wheelchair seating: A state-of-the-art review.

    abstract:BACKGROUND:Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seati...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364619836028

    authors: Nace S,Tiernan J,Ní Annaidh A

    更新日期:2019-08-01 00:00:00

  • Nighttime bracing with the Providence thoracolumbosacral orthosis for treatment of adolescent idiopathic scoliosis: A retrospective consecutive clinical series.

    abstract:BACKGROUND::Orthotic treatment for adolescent idiopathic scoliosis is a mainstay in nonoperative treatment to prevent progressive spinal deformity. OBJECTIVE::To determine the effectiveness of the Providence orthosis in the treatment of adolescent idiopathic scoliosis. STUDY DESIGN::Retrospective review. METHODS::Pa...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364618792727

    authors: Davis L,Murphy JS,Shaw KA,Cash K,Devito DP,Schmitz ML

    更新日期:2019-04-01 00:00:00

  • Gastrocnemius operating length with ankle foot orthoses in cerebral palsy.

    abstract:BACKGROUND:Many individuals with cerebral palsy wear ankle foot orthoses during daily life. Orthoses influence joint motion, but how they impact muscle remains unclear. In particular, the gastrocnemius is commonly stiff in cerebral palsy. Understanding whether orthoses stretch or shorten this muscle during daily life m...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616665731

    authors: Choi H,Wren TAL,Steele KM

    更新日期:2017-06-01 00:00:00

  • The Prosthetist Role Expectations Scale: Development and initial validation of a scale for clinical settings.

    abstract:BACKGROUND:The role of the prosthetist has changed substantially over the past century. In the transition from 'limb-maker' to 'clinician', the expectations of prosthetics professionals have also changed. OBJECTIVES:To develop and test a new scale capable of assessing and comparing current expectations of the roles of...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364617698519

    authors: Mackenzie RL,Morris ME,Murphy G,Hodge MC

    更新日期:2018-04-01 00:00:00

  • The use of a direct manufacturing prosthetic socket system in a rural community in South Africa: A pilot study and lessons for future research.

    abstract:BACKGROUND:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES:The objective of this study was to test and explore the clients' perspectives with the application...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616683982

    authors: Ennion L,Johannesson A,Rhoda A

    更新日期:2017-10-01 00:00:00

  • Foot clearance strategy for step-over-step stair climbing in transfemoral amputees.

    abstract:BACKGROUND AND AIM:Stair ascent is a particularly challenging task for transfemoral amputees. The aim of this clinical note was to describe the kinematic features of foot clearance in transfemoral amputee who can ascend stairs using a step-over-step strategy. TECHNIQUE:The marker trajectories of the first metatarsopha...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364613497049

    authors: Hobara H,Kobayashi Y,Nakamura T,Yamasaki N,Ogata T

    更新日期:2014-08-01 00:00:00

  • Comparison of CAD-CAM and hand made sockets for PTB prostheses.

    abstract::The aim of the present study was to compare sockets for below-knee (BK) prostheses made by Computer Aided Design-Computer Aided Manufacture (CAD-CAM) to those made by hand. The patients in the study were provided with two prostheses each, which apart from the sockets, were identical. One socket was made by the CAD-CAM...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648909079405

    authors: Köhler P,Lindh L,Netz P

    更新日期:1989-04-01 00:00:00

  • Standing balance in people with trans-tibial amputation due to vascular causes: A literature review.

    abstract:BACKGROUND:Balance is an important variable to consider during the rehabilitation process of individuals with trans-tibial amputation. Limited evidence exists on the balance abilities of people with trans-tibial amputation due to vascular causes. OBJECTIVE:The purpose of this article is to review literature and determ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364616683819

    authors: Seth M,Lamberg E

    更新日期:2017-08-01 00:00:00

  • Influence of gait training and prosthetic foot category on external work symmetry during unilateral transtibial amputee gait.

    abstract:BACKGROUND:Prosthetic foot prescription guidelines lack scientific evidence and are concurrent with an amputee's concurrent with an amputee's Medicare Functional Classification Level (K-Level) and categorization of prosthetic feet. OBJECTIVE:To evaluate the influence of gait training and four categories of prosthetic ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0309364612473501

    authors: Agrawal V,Gailey R,O'Toole C,Gaunaurd I,Finnieston A

    更新日期:2013-10-01 00:00:00

  • Continuous passive motion in hand rehabilitation.

    abstract::This paper reviews the literature comparing the results obtained in applying regimes involving motion with those involving rest following injury or surgery. The deleterious effects of immobilisation are compared to those obtained under conditions of passive motion and intermittent passive motion. It is concluded that ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.3109/03093649309164369

    authors: Dent JA

    更新日期:1993-08-01 00:00:00

  • The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation.

    abstract:BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analy...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616628341

    authors: Davie-Smith F,Paul L,Nicholls N,Stuart WP,Kennon B

    更新日期:2017-02-01 00:00:00

  • Measuring foam model shapes with a contact digitizer.

    abstract:BACKGROUND AND AIM:It is difficult to measure foam model shapes using contact digitizers because the stylus contact tends to get stuck in the soft foam. The aim of this paper is to describe a technique to overcome this challenge and to assess its effect on digitizer error. TECHNIQUE:A controlled laboratory study was c...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364610394478

    authors: Sanders JE,Severance MR

    更新日期:2011-06-01 00:00:00

  • Rasch analysis of the Locomotor Capabilities Index-5 in people with lower limb amputation.

    abstract::The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA)...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640701253952

    authors: Franchignoni F,Giordano A,Ferriero G,Muñoz S,Orlandini D,Amoresano A

    更新日期:2007-12-01 00:00:00

  • The short -term effects of an exercise programme as an adjunct to an orthosis in neuromuscular scoliosis.

    abstract::The purpose of this study was to investigate the effects of a 4 week physiotherapy programme on patients who were given a spinal orthosis for neuromuscular scoliosis. This study was planned as a single group pre- and post-intervention repeated measures design. All patients were given a polyethylene spinal orthosis wit...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640409167759

    authors: Bayar B,Uygur F,Bayar K,Bek N,Yakut Y

    更新日期:2004-12-01 00:00:00

  • Validity of the Comprehensive High-Level Activity Mobility Predictor in a heterogeneous population with lower extremity amputations.

    abstract:BACKGROUND AND OBJECTIVE:Lower extremity amputee outcome measures assess basic mobility. The Comprehensive High-Level Activity Mobility Predictor was developed to assess high-level mobility. Validity evidence was collected in military men with traumatic lower extremity amputations. This study examines its validity in a...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364619887559

    authors: Anton A,Legault Z,Dudek N

    更新日期:2020-04-01 00:00:00

  • The influence of orthosis stiffness on paraplegic ambulation and its implications for functional electrical stimulation (FES) walking systems.

    abstract::This study examines the evidence which supports the importance of maintaining relative abduction for effective reciprocal walking in high level paraplegic patients. In comparisons of orthoses, where this can only be achieved mechanically, those with higher lateral rigidity consistently showed greater levels of walking...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649509080352

    authors: Stallard J,Major RE

    更新日期:1995-08-01 00:00:00

  • Psoriasis and the effect of prosthetic fitting.

    abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640309167979

    authors: Heim M,Warshavski M,Siev-Ner I

    更新日期:2003-04-01 00:00:00