Stabilizing Transpelvic Prosthetic Socket for a Patient with Spinal Cord Injury Sustaining Right Partial Hemipelvectomy and Left Hip Disarticulation

  • NAKANISHI Yoshie
    Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
  • WATANABE Tetsuro
    Department of Rehabilitation, St. Mary's Hospital.
  • IKEDA Atsushi
    Department of Rehabilitation, Kibikogen Rehabilitation Center for Employment Injuries.
  • WADA Futoshi
    Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
  • HACHISUKA Kenji
    Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.

Bibliographic Information

Other Title
  • 脊髄損傷による右部分骨盤切断ならびに左股関節離断の座位保持再獲得のために作製した骨盤義足ソケット

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Abstract

A bucket-type transpelvic socket was fabricated for a man with paraplegia from spinal cord injury, who underwent right partial pelvic amputation and left hip disarticulation. His main problem was inability to sit due to asymmetrical pelvic shape. We prescribed a transpelvic prosthetic socket to enable him to sit again. The socket consisted of a dual structure: a hard frame and soft liner. The main features of the socket were redistribution of pressure to prevent recurrence of pressure ulcer, and a slightly backward tilt to maintain a comfortable sitting position. In addition, the socket had small air holes for ventilation; a big window in the abdominal area for management of stoma and cystostomy; and two straps for donning it independently. In addition, we confirmed the internal pressure distribution in the socket by a pressure mapping system to prevent reoccurrence of skin trouble. Finally, the patient regained independence in activities of daily living, including driving a car, after two months of rehabilitative training.

Journal

  • Journal of UOEH

    Journal of UOEH 34 (2), 175-182, 2012

    The University of Occupational and Environmental Health, Japan

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