CASE STUDY HARMONY PROSTHETIC SYSTEM

1
CASE STUDY HARMONY PROSTHETIC SYSTEM

• Presented by Ellen Chu at NSW PAR meeting
• 10th February 2006

2
Mr. G

• 65 years old
• Admitted to Mt Wilga Private Hospital on 31/05/05
  following L trans-tibial amputation on 24/05/05.
  No post-op complications.
• PMH LR unicompartmental knee replacements,
  NIDDM, OA shoulders, HT

3
HPI

• L fem bypass April 04, graft blocked twice in Jun
  04 and Nov 04, unblocked by angioplasty.
• Jan 05, graft blocked again and underwent fem-pop
  bypass. Graft blocked in April and May 05.
• L Trans-tibial amputation 24/05/05
• R fem-pop bypass in Nov 03 30 flow

4
SHx

• Lives with wife in a level house with no steps.
• Previously independent with all ADLs.
• Preoperatively could mobilise up to 50m before
  having to rest, due to pain.
• Active, vice-president of a local soccer club.

5
On admission

• Independent with bed mobility and transfer
• Independent with hopping using a FASF 25m
• Normal ROM except L knee -10 extension from
  previous surgery

6
Physiotherapy management

• Mobility training
• Strengthening exercises
• Prone lying
• CV fitness
• Swelling management commenced on 14/06/05 (stump
  bandages and shrinkers)

7

• Casting on 05/07/05 for PTB prosthesis.
• Prosthetic training commenced on 07/07/05 and he
  was progressed to walking with a walking stick on
  11/07/05.
• Discharged to home on 23/07/05.

8
Issues with PTB

• Swelling control
• Pain from the strap
• Solution??

9
HARMONY System

• Casting on 19/09/05
• No changes to actual gait pattern
• No pain from the strap
• No need to wear or adjust number of socks
• More comfortable walking