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Year : 1977  |  Volume : 11  |  Issue : 1  |  Page : 77-82

A New Type Of Artificial Limb Fitting For Very Short Below Hip Amputation

Correspondence Address:
T. C Gupta

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Source of Support: None, Conflict of Interest: None

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Traditionally, minimal acceptable length for fitting a below hip amputation stump with a conventional above knee prosthesis is 12.5 cm as measured from the top of the greater trochanter of femur. For optimal prosthetic rehabilitation however, a stump length of 25 to 30 cm is desirable, with a mandatory minimal clearance of 7.5 cm below the end of the stump for placement of prosthetic knee joint in a functional anatomical position in relation to contralateral sound knee joint. For short below hip stumps which cannot be fitted with above knee prosthesis, the alternative is the hip disarticulation prosthesis. This prosthesis provides comfortable weight bearing, but has inferior locomotion performance due to its entire dependence for mobility on pelvis and trunk action. On the other hand, short below hip stump fitted with above knee prosthesis yields better locomotion capability as compared to hip disarticulation prosthesis. At the Artificial Limb Centre Pune, we have designed a new method of fitting very short below hip stumps with above knee prostheses.

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