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Suggestions From the Field |
Ms. Figueroa is Assistant Supervisor of Physical Therapy, Mr. Rivera is Rehabilitation Technician, and Dr. Wainapel is Acting Director, Rehabilitation Medicine, all at the Department of Rehabilitation Medicine, North Central Bronx Hospital, 3424 Kossuth Ave, Bronx, NY 10467 (USA).
This excerpt was created in the absence of an abstract.
The use of short "stubby" prostheses in elderly bilateral above-knee amputees has been advocated by several authors.1–3 The major advantages of these prostheses are that they 1) lower the center of gravity, reducing the incidence and seriousness of falls and 2) eliminate the prosthetic knee joint, providing better control and possibly reducing the cardiovascular stress of ambulation.3 Cosmesis has been the major disadvantage.4 Another problem, which we recently encountered in training a 73-year-old patient with bilateral amputations, is difficulty in donning and removing the prostheses. A special table was constructed by one of the authors (D.R.) to facilitate this activity. Prior to its construction, our patient had to don his prostheses either while supine in bed (using a wall as counterforce) or balancing on the stubbies while they rested on the floor; both methods were unsafe and inefficient and required an inordinate amount of energy.
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