Report of a spina bifida patient with critical limb ischemia avoiding major amputation and regaining his gait

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  • 重症下肢虚血の二分脊椎症患者が大切断を回避し歩行を再獲得した症例

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Abstract

Most of the patients who undergo major limb amputation are old, and in many cases the cause of amputation is infection or ischemia. In the case of amputation caused by ischemia patients have lower ADL before amputation, so even if the prosthesis fits the patient, it is uncertain whether patients can achieve a natural gait or not. In addition, major amputation is a high risk factor which influences life expectancy and the survival rate after major amputation is poor. Therefore recently researchers have been paying attention to the limb salvage as the ideal medical treatment which is practiced by a multidisciplinary team, to avoid major amputation and restore the gait. In this case the patient was affected by spina bifida, so the patient was supposed to undergo major amputation. The patient, however, avoided major amputation by multidisciplinary treatment and gained a normal gait with a Knee-Ankle- Foot-Orthosis. Now the patient lives daily life without recurrence of ulcer. In my opinion, prosthetists play an important role in the area of limb salvage.

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