Article

BACKGROUND: To overcome the challenges of rehabilitation of bilateral
transfemoral amputees, we developed a novel "hip prosthesis in the sitting posture." Case Description and Methods:
A 64-year-old male bilateral transfemoral
amputee was transferred for rehabilitation 4 months following a burn injury. His
wounds remained unhealed for 20 months; thus, he was unable to participate in
standing training with the standard prosthetic sockets.
Hip prosthesis in the
sitting posture has very little friction between the sockets and residual limbs,
which facilitated our patient to begin standing and walking exercises. Findings
and Outcomes: The patient's refractory wounds healed 1 month after initiating
exercises using hip prosthesis in the sitting posture, and he could begin
rehabilitation with the standard prostheses. DISCUSSION AND CONCLUSION: Hip
prosthesis in the sitting posture enabled a bilateral transfemoral amputee with
unhealed residual limbs to stand, walk, and begin balance training. Hip
prosthesis in the sitting posture is an effective temporary prosthesis to prevent
disuse until wounds are healed and to continue rehabilitation with standard
prostheses. Clinical relevance Hip prosthesis in the sitting posture is useful
for bilateral transfemoral amputees with unhealed residual limbs after burn
injuries to prevent disuse and maintain motivation for walking.

Langue : ANGLAIS