Very High above knee amputation in Kolkata

Dear people

i am working with an NGO in Kolkata, India and have a difficult case on my hands. The patient is a 20 year old female with a child (to whom she gave birth to after the accident). She was pushed infront of a train and both her legs were automatically amputated. She remains with stumps just below her hip joints. Her hip joints are still intact and there is iliopsoas function. Her trunk stability is poor. What are the available prosthesis for such a case? anf if available, how difficult/intensive must the rehabilitation process?

any good advice will help

Lynn

If you are considering prostheses it sounds like you might need to think in terms of hip disarticulation prostheses, especially if they have no hip extension. However they do need to have good trunk control so a lot of work would be needed in this area. Pelvic tilting is required to activate the prosthesis. In a single leg hip disartic. this is extremely tiring and from my limited experience they have usually mobilised without a prosthesis with crutches as it is more energy efficient and much faster. A bilat. makes it much harder still. Havve you considered wheelchair for mobility?

thanks for ur reply. yes, i think that a prosthesis such as one used for a single hip disarticulation would be the only option. she does have some extensors, but they are weak and probably not too functional. The patient would be happy with a wheelchair or tricycle, however she has to take care of her 1 and a half year old child (to whom she gave birth to after the amputations!). she has no family to help out so either way it would be tricky.

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Originally Posted by Lynn

Dear people

i am working with an NGO in Kolkata, India and have a difficult case on my hands. The patient is a 20 year old female with a child (to whom she gave birth to after the accident). She was pushed infront of a train and both her legs were automatically amputated. She remains with stumps just below her hip joints. Her hip joints are still intact and there is iliopsoas function. Her trunk stability is poor. What are the available prosthesis for such a case? anf if available, how difficult/intensive must the rehabilitation process?

any good advice will help

Lynn

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Hi Lyn

I had a friend contact the Rankin Park Limb Center in Australia (where I once worked) on your behalf to ask for some advice. I am going to give them this link but I am also going to paste their replay and email below. I hope this helps.

I also noticed another posting about a new, useful amputee website at http://amputeenews.com/default.aspx

Dear ****,

I am one of the prosthetists working in the Limb Centre and would be happy to help you if I can. What sort of advice are you after- prosthetic fit and function or gait training assistance?

I can probably help with the prosthetic specifics, or you can direct your enquiry to the OandP list-serve (via www.oandp.com) and get feedback from the global prosthetics community.

For physio related assistance, Craig Evans is the amputee physio here at the limb centre and he may be able to answer your questions.

Regards,
Anna Frazer.

Anna Frazer
Prosthetist
[email protected]
Hunter Prosthetic & Orthotic Service
Limb Centre- Rankin Park Unit
Lookout Road, New Lambton Heights
NSW
Ph: (02) 4921 4151
Fax: (02) 4921 4155

Hi

Lynn,
I am Munmun B. Satter.I am a Prosthetist working for a German based Rehabilitaion clinic named Ottobock Health Care India pvt ltd.We newly opened in eastern India region(Kolkata).As u said u r in Kolkata so i would like to invite you to visit our centre once regarding the answers you are looking for.i shall be very happy if i could help you in the same.we prescribe, make and fit hitech limbs so i believe we have solution for the mentioned case.thanks
regards
Munmun satter

Our clinic in kolkata-
OttoBock Health Care India Pvt Ltd
46,Dr. Sundari Mohan Avenue
kolkata-14

contact no- 9831084520/9836887468

Dear Lynn,

Greetings from Endolite,
We would like to inform you that Endolite Kolkata is a complete rehabilitation unit of International standards. It takes care of all prosthetic and orthotic needs of physically challenged persons. We are having an experienced team of Prosthetic professionals and we could provide some solution after having the physical assessment of the case. You are requested to please contact us at the below mentioned address;
Endolite India limited
47-A, D.H.Road, Kol-38
( Near taratalla crossing and D.A.V.Public school
Ph; 033-24456422, 93318-30450
E-mail; [email protected]