IJHSR

International Journal of Health Sciences and Research

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Case Report

Year: 2020 | Month: October | Volume: 10 | Issue: 10 | Pages: 320-323

Prosthetic Management of Partial Foot Amputation (Trans-metatarsal foot) – A Case Study

Janarthani P1, Chinmayee Subhasmita Panda2, Saroj Kant Behura3

1Prosthetist and Orthotist, Ottobock, Coimbatore
2Assistant Professor, ISHWAR Institute of Prosthetics and Orthotics, Chennai, 600040
3Assistant Professor, S.I.H.R&LC, Karigiri, Tamilnadu.

Corresponding Author: Chinmayee Subhasmita Panda

ABSTRACT

Background: Partial foot amputees encounter some issues as gait abnormalities due to changes in biomechanics, COG, limb length and propulsion. A specifically designed supramalleolar orthosis was fabricated in order to overcome the problems.
Case description and Method: The supramalleolar orthosis was designed on the basis of patient’s condition and complaint. The proximal trim line was extended above the malleoli to ensure medio-lateral stability and rocker bottom was provided for proper push off in terminal stance.
Result: This orthosis provided optimum stability medio-laterally and Push-off was initiated by rocker bottom at the end of stance phase.
Conclusion: This orthosis is an economical and light weight design with proper biomechanical implications.

Key words: Partial foot orthosis, Supramalleolar orthosis, Mediolateral stability, Terminal stance push off, Partial foot amputee

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