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¢ Name ² Anoop Singh

¢ Age ² 60years
¢ Sex ² Male
¢ Contact no.- 9278756759
¢ Address ² Mahipalpur, New Delhi
¢ Height ² 5ft 9µ
¢ Weight ² 64kg
¢ Occupation ² Past: Senior attendant at the Airport
¢ Present: Retired and presently at home
¢ Living arrangement ² With Family
¢ OPD patient
¢ Consultant ² Dr H. S. Chabbra
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¢ Cause of injury- Patient was drunk and driving and met

with RTA.
¢ Date of injury- 17th march,2009
¢ Site of injury-Both lower limb injured near the ankle.
¢ First treatment at ISIC,Vasant Kunj,New Delhi.
¢ But during his treatment he developed pus in the left
lower limb and was shifted to Nersimha
Hospital,Gurgaon,where TF amputation was performed.

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¢ Site of injury-Deep laceration at the ankle of both lower

limb.
¢ Treatment history-Stitches were given and dressing was
done.
¢ Place of treatment ² ISIC , Vasant Kunj , New Delhi.
¢ Cause of surgery- necrosis in the left lower limb.
¢ Site of surgery ² left Trans-femoral amputation.
¢ Place of surgery- Nersimha Hospital, Gurgaon.
D Following amputation patient was hospitalized for one
month.
D After that physiotherapy treatment was started
¢ Assistive device used ²
initially-Wheel chair
presently-Walker
¢ Prosthesis used-no Post- operative Prosthesis used.
¢ Past History-Normal
¢ Birth History- Normal
¢ Family History-Supportive
¢ Economic History-Good

 

¢ Attitude of the patient ² Normal.

¢ Posture (in sitting) ²Erect
(in standing)- Slightly kyphotic
(in lying)-Normal
¢ Assistive device used ² Walker
¢ Body built- Normal
¢ Swelling ² Not found.
¢ Skin condition ² Normal
¢ Scar- on the posterior distal aspect of the
stump

 

¢ Tenderness- Not found

¢ Edema ² Not found
¢ Temperature of skin- Normal
¢ Skin condition ²Normal
¢ Pain ²Not found




¢ Alertness ² Intact
¢ Memory ² Good
¢ Orientation ² Intact
¢ Attention ² Intact
¢ Hearing ² Normal
¢ Vision ² Normal
¢ Speech - Normal
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·OINT MOVEMENT RIGHT LEFT
Hip Flexion 5 5
Extension 5 5
Adduction 5 4
Abduction 5 5
Knee Flexion 5 -
Extension 5 -
Ankle Dorsi flexion 5 -
Plantar flexion 5 -
Toes Extension 5 -
Flexion 5 -
 




¢ Pin Prick Examination:

Upper extremity ² Intact
Rt. Lower Extremity-Intact
Stump-Intact
¢ Light touch Examination:
Upper extremity ² Intact
Rt. Lower Extremity ² Intact
Stump-Intact
¢ Neuroma : Tingling sensation on the distal end of the
stump
¢ Phantome Limb Sensation : Not present






¢ Long stump
¢ Shape : Conical
¢ Scar: Well healed on the posterio-distal aspect
¢ Skin: Normal
no callus formation
no abrasion
¢ Bone spur: Not present
¢ Musculature : Average
¢ Redundant tissue : Present on the distal end of the stump
 



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¢ Ambulation ² Ambulates with walker

¢ Transfer - require support of walker or parallel bar
¢ Bed Activities ² Turn to both side,
Supine lying to sitting - Independent
¢ Balance ²Sitting - Independent
Standing ² Dependent
¢ ADL:
a) Feeding ² Independent
b) Grooming ² Independent
c) Bathing ²Dependent
d) Toileting ² Dependent
e) Dressing-
Upper Extremity ² Independent
Lower Extremity ²Dependent
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¢ No associated problems present.

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¢ Long left Trans-Femoral amputee

¢ Medicare functional classification- K3
 




¢ To make the patient ambulate.

¢ To achieve near normal gait.
  

1. Modular trans-femoral prosthesis with IRC

socket(partial suction) , Hydraulic knee joint, SAFE foot
and total elastic suspension.
2. Modular Trans-femoral Prosthesis with IRC socket
(partial suction), Polycentric knee joint, SAFE foot and
total elastic suspension.
    

¢ Seymour R ;Transfemoral Components-Clinical Decision

Making;Prosthetics And Orthotics lower limb and
spinal;209-248
¢ Psonak R;Transfemoral Prosthetics ; Orthotics And
Prosthetics in Rehabilitation ;(1); 491-519.
¢ Kapp S; Cummings D; Transtibial Amputation
PROSTHETIC Management; Atlas of limb
prosthetics;(2);453-475.
¢ Rubin G ; Fischer ; Dixon M;1986; Prescription of above ²
knee and below-knee prostheses; Prosthetics and
Orthotics International;(10);117-124
¢ McCollough N C; Sarmiento A;Williams EM;1998; Some
Considerations in management of the above knee geriatic
amputee; Orthotics and Prosthetics Library;(12),num2;28-