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Article type: Case Report
Authors: Grisales, Maria P.; * | Espinosa, Katalina | Alzate, Nestor O.
Affiliations: Physical Medicine and Rehabilitation Department, Universidad del Valle, Cali, Valle del Cauca, Colombia
Correspondence: [*] Corresponding author: Maria Paz Grisales, Calle 5 #36-08 Hospital Universitario del Valle. Depto Medicina Física y Rehabilitación Cali, Colombia. Tel.: +57 3165330706; E-mail: grisales.maria@correounivalle.edu.co.
Abstract: CASE DESCRIPTION:A 2-month-old child required a bilateral limb amputation, right transtibial, and left transfemoral after a deep burn compromising one-third of the body surface area. Traumatic amputations of lower limbs at such an early age are uncommon and underreported in the literature, especially in middle-income countries. OBJECTIVE:To describe the long-term follow-up of the prosthetization process after traumatic bilateral amputation of a 2-month-old patient. TREATMENT:The process started with compensatory prostheses for independent sitting, followed by exoskeletal devices with SACH feet, and finally introduced dynamic feet and knee to achieve progressively independent gait. OUTCOMES:The patient achieved functionality, autonomy, and social interaction for his age. The habilitation process continues to improve his independent gait and support upcoming life changes. CONCLUSION:Through a multidisciplinary approach, family support, and timely changes of device components according to the child’s development, this patient has been able to achieve a normal life.
Keywords: Amputees, disabled children, lower limb prosthesis, artificial limbs, case report
DOI: 10.3233/PRM-210005
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 15, no. 3, pp. 539-543, 2022
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