OpenLB
Open Library of Bioscience
Advanced Search
PM & R : the journal of injury, function, and rehabilitation
09, 2019;11 (9): 1027-1030.

Bent Knee Temporary Prosthesis to Support Early Ambulation after Transtibial Amputation: A Case Report.

Troy D Decker, Yakov Gradinar, Sarah Elert, Jason Q Alexander
Author Information
  1. Troy D Decker: Department of Endovascular and Vascular Surgery, Abbott Northwestern Hospital, Minneapolis Heart Institute, Minneapolis, MN.
  2. Yakov Gradinar: Hangar Clinic, Minneapolis, MN.
  3. Sarah Elert: Department of Endovascular and Vascular Surgery, Abbott Northwestern Hospital, Minneapolis Heart Institute, Minneapolis, MN.
  4. Jason Q Alexander: Department of Endovascular and Vascular Surgery, Abbott Northwestern Hospital, Minneapolis Heart Institute, Minneapolis, MN.
PMID: 30746858 DOI: 10.1002/pmrj.12136

Abstract

Postoperative immobility can exacerbate the physical and psychologic effects of limb loss. This case report presents a 37-year-old mother of two children who required a transtibial amputation. She received an early ambulation device called the bent knee temporary prosthesis (BKTP), which aids in early postoperative ambulation. Several early ambulation devices have been utilized in the past but have not found widespread favor. Although there is a paucity of research on this topic, available data suggest patient tolerance and benefit of early ambulation. A customizable, temporary below knee prosthesis such as the BKTP is valuable to study the safety and efficacy of early postoperative ambulation for improving outcomes for transtibial amputees.

References

Smith DG, McFarland LV, Sangeorzan BJ, Reiber GE, Czerniecki JM. Postoperative dressing and management strategies for transtibial amputations: a critical review. J Rehabil Res Dev. 2003;40(3):213-224.
Pezzin LE, Padalik SE, Dillingham TR. Effect of postacute rehabilitation setting on mental and emotional health among persons with dysvascular amputations. PM & R. 2013;5(7):583-590.
Sauter CN, Dillingham TR, Pezzin LE. Functional outcomes of persons who underwent dysvascular lower extremity amputations: effect of postacute rehabilitation setting. Am J Phys Med Rehabil. 2013;92(4):287-296.
Moore WS, Hall AD, Lim RC. Below the knee amputation for ischemic gangrene. Comparative results of conventional operation and immediate postoperative fitting technic. Am J Surg. 1972;124:127-134.
Burgess EM, Romano RL. The management of lower extremity amputees using immediate postsurgical prostheses. Clin Orthop Relat Res. 1968;57:137-146.
Schon LC, Short KW, Soupiou O, Noll K, Rheinstein J. Benefits of early prosthetic management of transtibial amputees: a prospective clinical study of a prefabricated prosthesis. Foot Ankle Int. 2002;23(6):509-514.
Liedberg E, Hommerberg H, Persson BM. Tolerance of early walking with total contact among below-knee amputees--a randomized test. Prosthet Orthot Int. 1983;7(2):91-95.
Choudhury SR, Reiber GE, Pecoraro JA, Czerniecki JM, Smith DG, Sangeorzan BJ. Postoperative management of transtibial amputations in VA hospitals. J Rehabil Res Dev. 2001;38(3):293-298.
Mooney V, Harvey JP, McBride E, Snelson R. Comparison of postoperative stump management: plaster vs. soft dressings. J Bone Joint Surgery. 1971;53(2):241-249.
Hays RD, Leimkuehler JP, Miknevich MA, Troyer D. An alternative bent-knee prosthesis. Arch Phys Med Rehabil. 1992;73(11):1118-1121.
Pennell CR, Mayfield GW. Bent knee pylon for the below-knee amputee. Bull Prosthet Res. 1973;10(19):77-83.

MeSH Term

Adult
Amputation, Surgical
Female
Humans
Knee Prosthesis
Leg
Osteomyelitis
Prosthesis Design
Prosthesis Fitting
Case Reports Journal Article

Word Cloud

Similar Articles

Cited By