Lisa (22):

“I have walked with a tube prosthesis for five years. Unfortunately, this was no longer possible for me, because I had too many discomforts and complaints with it. My complaints started already while putting on the prosthesis; my stump often was so thick, that I could not even place it into my prosthesis. Only after a lot of jumping and stamping I finally fitted in. Furthermore, I had to push cotton wool between the liner and sleeve to prevent pressure spots.

Unfortunately, this did not always work. Because of this my groin and bum were covered by the blisters. I noticed that walking got worse and which resulted in strains in my back. These strains became pains and the pain demonstrated to be a fatigue fracture to be in my spine.

From this moment on I decided not to wear my prosthesis anymore and accepted the fact that I could not walk anymore Until I heard about the click prosthesis. One year ago, I accepted this new challenge with my specialists in it Radboud. With pride I can that it is a successful project. I now wear the prosthesis all day to, and I’m walking large distances again without pain! ”

Want to know more about the treatment? Contact Ruud Leijendekkers: Ruud.Leijendekkers@radboudumc.nl, or register for the Radboudumc prosthesis and orthosis rehabilitation course (www.radboudumc.nl/por2019).

Physiotherapist Ruud Leijendekkers:

“Since 2010, Lisa has had a trans-femoral amputation at the height of her trochanter minor because of one osteosarcoma in the distal femur. From 2011 to 2016, she was mobile with a tube prosthesis, but she regularly had wounds to her stump.

Because of her short stump it was difficult to to adequately make a tube prosthesis. This resulted in displacement of the prosthesis during the swing phase and insufficient stability during the standing phase resulting in an asymmetrical walking pattern and severe back complaints.

The combination of these complications led Lisa to no longer being able to walk with a tube prosthesis and so she became wheelchair dependent from in 2016. In 2017 Lisa received her Click prosthesis. The placement of  the intramedullary implant was combined with strengthening and extending her femur with autologous and allogeneic bone.

Seven months later the stoma was created and the prosthesis parts were attached.  After this she has followed a 19-week period rehabilitation program, applying 50% of loading the first 6 weeks due to the added autologous and allogeneic bone. It was Lisa’s goal to walk symmetrical without helping aids and to resume her physical work again.

Ruud Leijendekkers MSc, Radboud university medical center, Nijmege

The story of Lisa in “FysioPraxis Magazine”of June illustrates the indication for a osseointegration (click-) prosthesis. #Fysiopraxis #Radboudumc #Osseointegratie #AOFE#Xilloc Would you like to know more about prosthesis or orthotic rehabilitation? Sign up now: www.radboudumc.nl/por2019 www.clicksafetyadapter.com