Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 3-9, March 2006

Limb Deficiency and Prosthetic Management. 1. Decision Making in Prosthetic Prescription and Management

  • Virginia S. Nelson, MD, MPH

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI
    • Corresponding Author InformationReprint requests to Virginia S. Nelson, MD, MPH, Dept of PM&R, 325 E Eisenhower, Ann Arbor, MI 48108
    • ,
  • Katherine M. Flood, MD

      Affiliations

    • Physical Medicine and Rehabilitation Program, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA
    • ,
  • Phillip R. Bryant, DO

      Affiliations

    • Good Shepherd Rehabilitation Hospital, Allentown, PA
    • ,
  • Mark E. Huang, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Paul F. Pasquina, MD

      Affiliations

    • Physical Medicine and Rehabilitation Service, Walter Reed Army Medical Center, Washington, DC
    • ,
  • Toni L. Roberts, DO

      Affiliations

    • Physical Medicine and Rehabilitation Service, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT

Abstract 

Nelson VS, Flood KM, Bryant PR, Huang ME, Pasquina PF, Roberts TL. Limb deficiency and prosthetic management. 1. Decision making in prosthetic prescription and management.

This self-directed learning module highlights decision making in prosthetic management in pediatric and adult patients. This chapter reviews classification of congenital limb deficiency and management of congenital pediatric upper-extremity amputees. Differences in management of amputees of various ages from infancy to old age is discussed. Case examples are used to formulate prosthetic prescriptions for transradial limb deficiency as well as knee disarticulation and transtibial level amputations. Common prosthetic gait deviations and anticipated functional levels are evaluated.

Overall Article Objective

To discuss prosthetic prescription and management in congenital limb deficiency and acquired amputations for patients of various ages.

Key Words:  Amputation , Artificial limbs , Limb deformities, congenital , Prostheses and implants , Rehabilitation

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01456-5

doi:10.1016/j.apmr.2005.11.022

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 3-9, March 2006

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