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Modified Crutch for the Upper Extremity Amputee with Lower Extremity Involvement

Ms. Ganz is Staff Physical Therapist, Department of Rehabilitation Services, Hospital for Special Surgery, 535 E 70th St, New York, NY 10021 (USA).
Mr. Kramer is Director, Prosthetics/Orthotics Department, Hospital for Special Surgery.

This excerpt was created in the absence of an abstract.

The Prosthetics/Orthotics and Physical Therapy Departments were faced with the challenge of creating a modified crutch for an upper extremity amputee with lower extremity involvement. A 46-year-old man, with congenital absence of both fibulae and his left arm from above the elbow, underwent a left total hip replacement in March 1979. He then had a left supracondylar osteotomy for valgus deformity in July of the same year. The patient's left lower extremity was supported in a splint, and he was to ambulate nonweight bearing on the left. He had an upper extremity prosthesis but chose not to wear it because of extreme discomfort.

After surgery, the patient's goals were to become independent in transfers and in ambulation both on level surfaces and stairs. Therefore, we needed to design a device whereby the patient could achieve these goals....