This case study looks at a 71-year-old man who had 52 years of chronic lower limb pain and ulceration secondary to radiotherapy for an osteosarcoma. It discusses some issues surrounding amputation in such a case and raises early preoperative involvement by a multidisciplinary amputee rehabilitation team as a mandatory arm of management.

Amputees lack movement and control mechanisms at the foot and ankle that result in different strategies for locomotion than nonamputees. The torsion adapter is a prosthetic device designed to minimize shear stress at the residual limb by facilitating rotation in the transverse plane. This study determined if the addition of a torsion adapter alters lower-limb joint rotation moments of transtibi...

IN THE fitting of any artificial limb, the goal of the prosthetist is simply to restore to the amputee the ability to perform everyday activities in an easy, natural, and comfortable manner. The basic requirements are therefore three in number—comfort, function, and appearance, the latter embracing both cosmetic appearance and appearance in use. Unless a prosthesis is reasonably comfortable, th...

BACKGROUND Major lower limb amputations result in a significant sense of loss, psychological stress, and decrease in function and overall quality of life for the amputee. The holistic, patient-centered prosthetic rehabilitation of an amputee requires input from a team of dedicated health professionals from different disciplines commonly referred to as a multidisciplinary team (MDT). MDT rehabil...

OBJECTIVE To describe the conceptual foundation, development, and initial psychometric analyses of a new outcome measure of functional status in toddlers with limb deficiency. DESIGN Parents of children with limb deficiency completed self-report measures during a routine medical clinic visit. SETTING Outpatient orthopedic pediatric clinic. PARTICIPANTS Twenty parents (mothers) of children...

Lower-limb amputees have identified comfort and mobility as the two most important characteristics of a prosthesis. While these in turn depend on a multitude of factors, they are strongly influenced by the biomechanical performance of the prosthesis and the loading it imparts to the residual limb. Recent years have seen improvements in several prosthetic components that are designed to improve ...