Friday, November 8, 2024

bka with girdlestone procedure

gerald martin

I was referred a patient today with an uncommon problem and I would

appreciate some suggestions from list members. He is a 74 year old

diabetic who is an ex Marine.(weighs about 250 lbs, down from over 300).

He underwent a Left BKA 4 years ago, but never wore a prosthesis due to

poor initial fitting. About 1 1/2 years ago, while transferring onto a

toilet, he fractured his L hip which resulted in a girdlestone

procedure performed at a VA hospital. He is now being treated for osteo

on R foot and is receiving PT to address contractures- bilateral hip

(15-20deg), R knee (25), L knee (15). This patient is very motivated

and “tough as nails”.

It would help him a great deal if he could use a prosthesis to transfer,

I’m not trying to make him a community ambulator. Some questions that

come to mind are: How much weight could he bear on a traditional

device? Would the addition of an ischial containment socket stabilize

the femoral segment? Should I consider a pelvic section to limit

rotation? Would LLD be a major problem? I am expecting to see X-rays

tomorrow.

Gerald L. Martin CPO C.Ped

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?