Trans Femoral Amputation Patient Assessment Data With

Prosthesis
35 years old Waleed Yaseen who is having Left Leg
Amputation in RTA on 9th of July 2015 fitted with Modular
Trans-Femoral Prosthesis on 27th of May 2023 ,Which Consist
of Below listed Components.
 Ischial Contaminated Carbon Fiber Socket
 Pin socket Silicon In linear
 Modular knee Joint with Apodeter along with pylon tube
 Foot adpoter with Multi axial foot
 SACH foot Cover
This patient was fitted with Modular Trans Femoral Prosthesis
and Gait trained on 27th of May 2023.
Patient Visit To Clinic For maintenance of Prosthesis 21
Aug 2023
 Patient Come to Clinic with the complain of pinching in the
residual Trans-femoral stump on Medioanterio aspect of
Stump .While he Ambulate he also feel shorting in the
affected side of prosthesis .
 When he ambultes he do Excessive downward drop of upper
limb and support himself with walking stick
 Patient has weak hip abdutor and Glutes muscles
 Patients urges to give him elevation in the Prosthesis so he
can feel better.
Prosthetic Foot and Socket Maintenance
 We give 2cms cork sheet compensation on patient demand
int the prosthetic foot
 After giving him compensation He was complain of Socket
that its pinch him on anterior medial of stump.Thus, we paste
6mm soft plastezoite form on that area which was thorn and
pointed.
 After done with socket and foot adjustment we check his gait
.Now patient said I m Satisfied with prosthesis now.

Patient Education for Right way Prosthesis Use

We guide patient to do residual limb active Exercises
Flexion ,Extension,Abduction ,Adduction to strengthen his
Gluteus Muscle and reduce gait Deviation .

Patient Visit To Clinic For maintenance of Prosthesis 30th

of Aug 2023
Patient come to clinic with complain of Silicon pin in-linear
that its is just 06 months used and its become tear off from many
sides and its elasticity also reduce ,its pin become hard to fix's
with socket.
Patient also urges to want one another compensation in the
prosthesis .
Clinical Finding on assessment
 On assessment of gait and stump we find that patient again
dropping his upper limb forward during gait as he is having
weak lower back muscles pules Weak hip and Gluteus
muscle .
 Patient was again Guided to Continue his Excessive for back
and hip muscles .
 On patient demand for physiological relive we give him 1cm
cork full insole in in affected side shoes .
 And we taught him that if when ever in future if you not
satisfied with compensation you can remove it .
Patient Education
 Patient was educated to put equal weight on both limbs
before he Ambulate.
 Patient was also educated to ambulate with correct use and
adjustment of walking stick alignment when he ambulates.