Hallo,
some months ago I handled a patient similar to yours :
right side TEP resection after infection ( 10th month in hospital caused
by Morbus Kawasaki )
left side hip.ex-articulation……
The construction was a KAFO which was connected to the hip-brace of the
protheses.
Whightbearing and stabilisation wasn t the problem, it was difficult to
do the casting and to arrange all the soft tissue around the area of the
missing femur and hipjoint.
We solved the problem by using a leggins to form the leg, used the
protheses to keep the patient standing while casting the other side.
The KAFO was done in a caron-lamination technique with the following
joints :
17B44
for having a slight contraction in the knee
17F29
been connected to the orthopidic shoe and avoiding a hard
strike at the tuber with every step he was doing( joint is constructed
with a spring inside )
17B82
and 17B83
used as the hipjoint and the connection to the
hipbrace
You will need a full containment of the tight with all tissues,
otherwise you get the result of a optic hip-flexion for the femur rest
will try to get out at the end of the brace !!!
In your case I would make a half way hard hip-brace to fix and to
stabelise the patient.
He will need orthotic support to control abduction and adduction – the
wight will cause only problems if you have problems to form his pelvis
in a rotation-stabile shape.
As long as he is not willing to take part in the NY marathon it should
be possible to give him some mobility back. Good luck and good results
Andreas Würsching CPO
Otto Bock Duderstadt / Germany
Training Centre –
