Case Report
Year: 2020 | Month: September | Volume: 10 | Issue: 9 | Pages: 383-387
Integrated Ankle Foot Orthosis (AFO) with Silicone Foot Prosthesis in the Management of Partial Foot Amputation – A Case Study
Surajit Kumar Sahu1, Minakshi Behera2, K C Sumithra3
1Assistant Professor, ISHWAR Institute of Prosthetics & Orthotics, AA-23, 3RD Street, 3RD Main Road, Anna Nagar, Chennai-600040, Tamil Nadu
2Assistant Professor (P&O), National Institute for Empowerment of Persons with Multiple Disabilities (Divyangjan), ECR, Muttukadu, Kovalam Post, Chennai-603112, Tamil Nadu
3Internship Student, ISHWAR Institute of Prosthetics & Orthotics, AA-23, 3RD Street, 3RD Main Road, Anna Nagar, Chennai-600040, Tamil Nadu
Corresponding Author: Minakshi Behera
ABSTRACT
Background: Partial foot amputation is the common type of amputation, due to vascular insufficiency, trauma, frostbite, limb deficiency, diabetes and its complications. Prostheses and Orthoses prescribed for partial foot amputations vary in design and principle.
Case Description and Methods: A 44-year-old woman who had traumatic transmetatarsal amputation 2 years ago. Post surgically the patient was treated with Reinforced silicone slipper type prosthetic foot for approximately 1 year. She was not satisfied with her prosthesis and felt severe pain in some parts of the residual limb, because of previous fracture on tibia and fibula. The Pain score was measured for immediately before the application of newly designed orthoprosthesis as well as after 4 months of regular use.
Results: The Pain score was decreased from 8 to 1 after using the newly designed orthoprosthesis for 4 months.
Conclusions: The newly designed Ankle Foot Orthosis (AFO) with Silicone Foot Prosthesis or Orthoprosthesis can be considered as a new alternative Management for Partial Foot Amputation
Clinical Relevance: This orthoprosthesis can effectively reduce the pain during ambulation as well as allows barefoot walking with excellent cosmetic appearance.
Key words: Partial foot amputation, Silicone Prosthesis, partial foot prosthesis, Orthoprosthesis, Ankle Foot Orthosis