A comparison of selected gait parameters and the energy cost of prosthetic walking was made in seventy patients with unilateral traumatic and vascular amputations. Amputations above the knee, below the knee, and at the Syme's level were compared in both groups of amputees, and a control group of forty normal subjects also studied. In both groups of amputees performance was significantly better ...

Acute arterial occlusion is a rare complication following total knee arthroplasty (TKA). This is a report of a case of acute femoral artery occlusion and its sequelae following TKA in a patient with a history of atrial fibrillation. Arterial circulation of the lower limb could not be restored by thrombectomy treatments, and above-knee amputation had to be carried out.

The prevalence of low back pain (LBP) is considerably higher in persons with lower-extremity amputation (52-71%) compared to the general population (6-33%) [1]. Alterations in gait and movement among persons with lower-extremity amputation have been associated with overall increases in trunk and pelvic motion [2]. Persons with unilateral transfemoral amputation (TFA), specifically, tend to walk...

The factors which determine the choice, revascularization or amputation of an ischaemic leg are very numerous, variable and sometimes also related. They are concerned with the extent and course of the gangrene, the general condition of the patient and the risk of operation, the technical operability in terms of arterial reconstruction, the skill and judgement of the vascular surgeon, the motiva...

In order to characterize the mechanical properties of the soft tissue in above-knee amputations, nine subjects were measured with a Doppler ultrasound system. Measurements were made at four locations: anterior, posterior, lateral, and medial. The characterizations included tissues up to 2.5 cm deep. The average posterior moduli are significantly greater than the anterior and lateral parameters....

The ability to control balance during walking is a critical precondition for minimizing fall risk, but this ability is compromised in persons with lower-limb absence because of reduced sensory feedback mechanisms and inability to actively modulate prosthesis mechanical function. Consequently, these individuals are at increased fall risk compared with nondisabled individuals. A number of gait pa...

The treatment of an above knee amputee who has sustained a fracture of femoral neck is a challenge for both the orthopaedic surgeon and the rehabilitation team. We present a case of such a patient and discuss different difficulties in his treatment.

With the intention to provide more information about this rare and difficult disease, we communicate that the boy from the Case 3 underwent a right transfemoral amputation due to massive enlargement and walking inability in November 2006. In January 2007, he had a massive enterorrhagia probably related to the growth of the vascular tumor and involvement of the colon. Despite multiple transfusio...