Скачать презентацию CASE STUDY HARMONY PROSTHETIC SYSTEM Presented by Ellen Скачать презентацию CASE STUDY HARMONY PROSTHETIC SYSTEM Presented by Ellen

25e0e4917d00fd66bb1f71ad9da19ac3.ppt

  • Количество слайдов: 9

CASE STUDY HARMONY PROSTHETIC SYSTEM Presented by Ellen Chu at NSW PAR meeting 10 CASE STUDY HARMONY PROSTHETIC SYSTEM Presented by Ellen Chu at NSW PAR meeting 10 th February 2006 1

Mr. G l 65 years old l Admitted to Mt Wilga Private Hospital on Mr. G l 65 years old l Admitted to Mt Wilga Private Hospital on 31/05/05 following L trans-tibial amputation on 24/05/05. No post-op complications. l PMH: L&R unicompartmental knee replacements, NIDDM, OA shoulders, HT 2

HPI l. L fem bypass April 04, graft blocked twice in Jun 04 and HPI l. L fem bypass April 04, graft blocked twice in Jun 04 and Nov 04, unblocked by angioplasty. l Jan 05, graft blocked again and underwent fem-pop bypass. Graft blocked in April and May 05. l L Trans-tibial amputation 24/05/05 l R fem-pop bypass in Nov 03 ~30% flow 3

SHx l Lives with wife in a level house with no steps. l Previously SHx l Lives with wife in a level house with no steps. l Previously independent with all ADL’s. l Preoperatively could mobilise up to 50 m before having to rest, due to pain. l Active, vice-president of a local soccer club. 4

On admission l Independent with bed mobility and transfer l Independent with hopping using On admission l Independent with bed mobility and transfer l Independent with hopping using a FASF ~25 m l Normal ROM except L knee -10° extension from previous surgery 5

Physiotherapy management l Mobility training l Strengthening exercises l Prone lying l CV fitness Physiotherapy management l Mobility training l Strengthening exercises l Prone lying l CV fitness l Swelling management commenced on 14/06/05 (stump bandages and shrinkers) 6

l Casting on 05/07/05 for PTB prosthesis. l Prosthetic training commenced on 07/07/05 and l Casting on 05/07/05 for PTB prosthesis. l Prosthetic training commenced on 07/07/05 and he was progressed to walking with a walking stick on 11/07/05. l Discharged to home on 23/07/05. 7

Issues with PTB l Swelling control l Pain from the strap l Solution? ? Issues with PTB l Swelling control l Pain from the strap l Solution? ? 8

HARMONY System l Casting on 19/09/05 l No changes to actual gait pattern l HARMONY System l Casting on 19/09/05 l No changes to actual gait pattern l No pain from the strap l No need to wear or adjust number of socks l More comfortable walking 9