scholarly journals A Global Collaboration - Osteointegration Implant (OI) for Transfemoral Amputation Case Report (First Reported Case in U.S.)

2013 ◽  
Vol 3 (2) ◽  
Author(s):  
Ronald Hillock, MD ◽  
John Keggi, MD ◽  
Robert Kennon, MD ◽  
Edward McPherson, MD ◽  
Terry Clyburn, MD ◽  
...  
PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S190
Author(s):  
Henry S. York ◽  
Paula Geigle ◽  
Jean Mcquaid ◽  
Gerald Morgan

Author(s):  
Jillian Santer ◽  
Stephanie MacDonald ◽  
Katherine Rizzone ◽  
Shawn Biehler ◽  
Tanya Beiswenger

PM&R ◽  
2010 ◽  
Vol 2 ◽  
pp. S93-S93
Author(s):  
Shinichi Wada ◽  
Fumihito Kasai ◽  
Masazumi Mizuma

2015 ◽  
Vol 5 (11) ◽  
Author(s):  
Yoko Shimpuku ◽  
Shigeko Horiuchi ◽  
Sebalda C. Leshabari ◽  
Dickson Mkoka ◽  
Yasuko Nagamatsu ◽  
...  

2014 ◽  
Vol 94 (3) ◽  
pp. 401-410 ◽  
Author(s):  
Arun Jayaraman ◽  
Sean Deeny ◽  
Yochai Eisenberg ◽  
Gayatri Mathur ◽  
Todd Kuiken

Background and Purpose Community mobility of individuals following lower limb amputation is highly variable and has a great impact on their quality of life. Currently, clinical assessments of ambulatory ability and motivation influence prosthetic prescription. However, these outcome measures do not effectively quantify community mobility (ie, mobility outside of the clinic) of individuals with an amputation. Advances in global positioning systems (GPSs) and other wearable step-monitoring devices allow for objective, quantifiable measurement of community mobility. This case report will examine the combined use of a GPS unit and a step activity monitor to quantify community mobility and social interaction of an individual with transfemoral amputation due to dysvascular disease. Case Description A 76-year-old woman with a unilateral transfemoral amputation due to vascular disease carried a commercial GPS unit and step activity monitor to quantify her community mobility and social interaction every day over a period of 1 month. The step activity monitor was affixed to her prosthesis. The patient used a wheelchair as well as her prosthesis for everyday mobility. Outcome Information from the GPS unit and step activity monitor provided quantitative details on the patient's steps taken in and out of the home, wheelchair use, prosthesis use, driving trips, and time spent on social and community trips. Discussion This case report describes a potential clinical measurement procedure for quantifying community mobility and social interaction of an individual with lower limb amputation. Future efforts are needed to validate this measurement tool on large sample sizes and in individuals with different mobility levels. Additionally, automatization of data analysis and technological approaches to reduce compromised GPS signals may eventually lead to a practical, clinically useful tool.


2013 ◽  
Vol 178 (8) ◽  
pp. e956-e962 ◽  
Author(s):  
Steven D. Gresswell ◽  
Anthony A. Corsini ◽  
Luke H. Balsamo ◽  
Edward F. Miles

2013 ◽  
Vol 38 (5) ◽  
pp. 418-424
Author(s):  
Camilo P Helito ◽  
Riccardo G Gobbi ◽  
Marco K Demange ◽  
Jose R Pecora ◽  
Gilberto L Camanho ◽  
...  

Background:Knee arthroplasty is an efficient solution for osteoarthrosis in amputees. However, because of overload on the implant, it is apparently more subject to failure than in the non-amputated population. The aim of this case report is to show a failure of primary total knee arthroplasty contralateral to transfemoral amputation that required revision involving a tissue bank because of severely compromised knee bone. Surgical strategies, rehabilitation, and postoperative care for the operated limb and the contralateral prosthesis were demonstrated.Case description and methods:A 60-year-old patient with early failure of total knee arthroplasty contralateral to transfemoral amputation underwent arthroplasty revision in which a graft from a tissue bank was used. After the revision, prosthesis length adjustment and exercise therapy were fundamental to the rehabilitation.Findings and outcomes:The patient progressed well after the revision of the arthroplasty, with increases on the Knee Society Score and 36-Item Short Form Health Survey scales.Conclusion:Knee arthroplasty in amputees should be planned differently to that of the general population. For the procedure to be successful, there should be greater attention to implant stability, equalization of leg length, and a postoperative regimen including muscle strengthening and range of motion exercises to achieve the required knee flexion.Clinical relevanceThis case report is important because it presents a challenging case of a unilateral transfemoral amputee with failed arthroplasty over the years in the contralateral limb. To our knowledge, such a case has not been described in the scientific literature. It would be helpful for surgeons and rehabilitation professionals to chart out a treatment protocol and also to prevent premature failure of the joint.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


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