| Title: |
Case study: Correction of angular deformity post-trans-tibial amputation to improve prosthesis fit and comfort |
| Authors: |
Lineham, B; Harwood, P; Giannoudis, P |
| Publisher Information: |
Sage Publications |
| Publication Year: |
2015 |
| Collection: |
White Rose Research Online (Universities of Leeds, Sheffield & York) |
| Description: |
Background: This case report describes the revision of a trans-tibial amputation complicated by a proximal malunited fracture. It demonstrates the complexity of decisions involved in revisions of this nature. Case description and methods: The patient presented has a painful stump due to breakdown of soft tissues. She had been suffering for over a year with pressure sores and inability to use a prosthesis resulting from this, decreasing her quality of life. Malunion of a tibial fracture proximal to the amputation complicated her condition. Findings and outcomes: Initially it was feared that the amputation level would be converted to a through-knee amputation, but wedge osteotomy of the tibia allowed coverage of the stump, increasing functionality for the patient, while still maintaining a below-knee stump. Conclusion: This report highlights the importance of addressing the cause of soft tissue problems in an amputation revision, which must be addressed on a case-by-case basis. Clinical relevance: This case offers an insight into the decision-making process in limb reconstruction and suggests a solution for similar cases. It is important that all surgical options are considered before amputation length is sacrificed. |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| ISSN: |
0309-3646 |
| Relation: |
Lineham, B, Harwood, P and Giannoudis, P (2015) Case study: Correction of angular deformity post-trans-tibial amputation to improve prosthesis fit and comfort. Prosthetics and Orthotics International, 39 (2). pp. 157-160. ISSN: 0309-3646 |
| DOI: |
10.1177/0309364613516485 |
| Availability: |
https://eprints.whiterose.ac.uk/id/eprint/96646/; https://doi.org/10.1177/0309364613516485 |
| Accession Number: |
edsbas.45C2327B |
| Database: |
BASE |