Successful rehabilitation after hip fracture to a patient with previous above-elbow amputation |
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Authors: | Horiuchi Hiroshi Hashimoto Keiji Uruma Go Fujita Goro Soga Toshio Iizuka Hisashi Miyano Satoshi Abo Masahiro |
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Affiliation: | Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan. |
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Abstract: | We experienced successful rehabilitation of an elderly man after hip fracture (HF) who had had ipsilateral above-elbow amputation. He was a wounded soldier whose right arm had been amputated more than 60 yrs ago, and he had never used a prosthesis. He had been admitted to our hospital because of exacerbation of chronic obstructive pulmonary disease. During his admission, he had a fall-related hip fracture. We devised a special upper-limb prosthesis so that he could hold an ipsilateral crutch to enable appropriate acute-phase rehabilitation for HF. As a result, effects of disuse were prevented and he gained improvement of lower-limb function. The specialized upper-limb prosthesis also reduced his anxiety regarding walking. It can be considered that the prosthesis contributed to his quality of life with regard to activities of daily living after discharge. |
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