Prosthetics and Orthotics International最新文献

{"title":"Effectiveness of telerehabilitation to improve motor capacity in patients with lower limb amputation: A systematic review.","authors":"Giacomo Farì, Sara Clelia Longo, Francesco Quarta, Eleonora Farì, Laura Caforio, Morena Pitruzzella, Vincenzo Ricci, Matteo Luigi Giuseppe Leoni, Giustino Varrassi, Andrea Bernetti","doi":"10.1097/PXR.0000000000000553","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000553","url":null,"abstract":"<p><p>Lower limb amputation affects mobility, balance, and independence, limiting quality of life. Although effective, traditional rehabilitation is often inaccessible because of geographic and financial barriers. Telerehabilitation offers a promising alternative by improving gait, strength, and patient engagement. However, variability in protocols and outcome measures hinders standardization, requiring further research to establish best practices and long-term efficacy. This systematic review followed PRISMA 2020 guidelines and was registered on PROSPERO (CRD42024593498). Studies were identified through PubMed, Scopus, Cochrane Library, and Google Scholar using a predefined Boolean search. Filters included full-text availability, human subjects, English language, and clinical trials published between 2014 and 2024. Eligible studies focused on exercise-based telerehabilitation for people with lower limb amputation (≥18 years). Four randomized controlled trials, including a total of 215 participants with lower limb amputation, were included. The primary outcome was walking capacity (2- or 6-minute walk test). Motor capacity was mainly assessed through walking-based outcomes, including walking distance and functional endurance, with some studies also assessing balance-related performance. Telerehabilitation shows comparable functional outcomes to conventional physiotherapy and consistent benefits in engagement and confidence in people with lower limb amputations, whereas uncertainty remains regarding superiority and long-term functional effectiveness.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Highlighting the experiences of female participants with lower extremity amputation during daily activities and comparisons of sex-related factors during a clinical trial.","authors":"Molly C Gries, Natalie Grazian, Donald J Fogelberg, Katheryn J Allyn, Matthew M Wernke, Murray E Maitland","doi":"10.1097/PXR.0000000000000537","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000537","url":null,"abstract":"<p><strong>Background: </strong>Biological female participants with lower extremity amputation (LEA) report decreased satisfaction with their prosthesis and increased pain and social isolation after amputation, compared with male participants. Despite representing 33% of amputees in the United States, female participants are often underrepresented in research, which can perpetuate health disparities. Female participants with LEA report feeling invisible and that their needs are unmet currently. A deeper understanding of female participants with LEA lived experiences and activities can help improve health outcomes and decrease health disparities.</p><p><strong>Objectives: </strong>To highlight female participants with LEA experiences during a clinical trial and compare the lived experiences of female and male participants with LEA during the trial.</p><p><strong>Study design: </strong>Secondary qualitative analysis.</p><p><strong>Methods: </strong>Twenty-four semi-structured interview transcripts were reviewed that explored participants' experiences while testing a novel prosthetic foot (2 interviews per participant). Two reviewers independently reviewed all self-identified female participants (n = 6) and randomly selected self-identified male participants (n = 6) using an inductive, phenomenological approach, practicing reflexivity and peer debriefing.</p><p><strong>Results: </strong>Four distinct themes were identified, highlighting female participants' experiences and comparing the female and male participants' interviews: (1) experiences of embodiment, (2) the progression of apprehension toward confidence while participating in a clinical trial, (3) footwear as a form of self-expression and functional ability, and (4) using side-to-side movement to navigate tight and community spaces.</p><p><strong>Conclusion: </strong>Female participants discussed some aspects of daily experiences and prosthesis needs different from male participants. Therefore, it is vital to include a diversity of sexes in clinical trials involving people with LEAs to improve health outcomes and reduce health disparities.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of radicular pain among adults with lower limb loss and low back pain.","authors":"Samantha Stauffer, Bradley Beschta, Christina Collins, Mackenzie Garrison, Ryan Chase, John Horne, Jaclyn Sions","doi":"10.1097/PXR.0000000000000552","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000552","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) affects up to 89% of adults with lower limb loss (LLL). LBP with concurrent radicular pain, ie, pain that radiates into the lower extremity, leads to more significant disability than LBP alone in the general population.</p><p><strong>Objective: </strong>The purpose of this study was to identify factors associated with the presence of radicular pain among adults with LLL with comorbid LBP.</p><p><strong>Study design: </strong>Secondary analysis of cross-sectional data.</p><p><strong>Methods: </strong>Participants, aged ≥18 years who were ≥1-year postunilateral transtibial or transfemoral LLL, were recruited from regional prosthetic clinics and Amputee Coalition National Meetings. Participants completed surveys, including the Patient-Reported Outcome Measurement Information System, 29-item (PROMIS-29). Forward stepwise logistic regression was used to identify factors associated with radicular pain presence.</p><p><strong>Results: </strong>Of the 135 participants [56.0 years (25th, 75th percentile: 47, 64); 56% male, 83% White, 66% transtibial; and 46% traumatic etiology], 46 (34%) reported radicular pain in the preceding 2 weeks. Individuals with greater depressive symptoms (p = 0.012) and greater 7-day average pain intensity (p = 0.034) per the PROMIS-29 were more likely to report radicular pain.</p><p><strong>Conclusions: </strong>With LLL and comorbid LBP, greater depressive symptoms and higher pain intensity are associated with an increased odds of presenting with radicular pain in the lower extremity, but longitudinal study to evaluate causation is needed. Psychological factors should be considered alongside physical factors when providing care for adults with LLL and comorbid LBP, particularly those presenting with radicular symptoms. Integrating mental health support with traditional pain management strategies may improve outcomes.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life and functionality in patients with unilateral trans-tibial amputations in a tertiary care hospital, South India.","authors":"Divya Roy, Clement Prakash, Deepti N Shanbhag, Jaya Das","doi":"10.1097/PXR.0000000000000525","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000525","url":null,"abstract":"<p><strong>Introduction: </strong>Amputation leads to disability and loss of mobility. This study focuses on the short-term recovery, especially early functionality gains and quality of life (QOL) improvements and how rehabilitation practices, particularly, timely fitting of prostheses and how educational status in specific, influence rehabilitation success.</p><p><strong>Objectives: </strong>To assess the health-related quality of life (HRQOL) and functionality at 1, 3, and 6 months after unilateral trans-tibial amputation in a tertiary care hospital, South India.</p><p><strong>Methods: </strong>A longitudinal cohort study was conducted among 76 participants over 1.5 years using the tools, Research and Development (RAND-36) survey to measure HRQOL and Amputee Mobility Predictor (AMP), to assess functionality.Inclusion criteria: 1) Age-18-75 years; 2) unilateral trans-tibial amputees; and 3) operated at the given setting.</p><p><strong>Results: </strong>Diabetic foot was the leading cause for amputation. At the end of 6th month, there was significant improvement (p < 0.05) in all parameters with confidence interval of 95%, QOL (95.8-103.9), and functionality (10.1-20.8). In comparison to nonusers, prosthetic users had significant improvements by the 6th month, w.r.t HRQOL (106.3) and AMP scores (26.1); nonusers (102.2 and 17.2, respectively). Amputees with higher education had significantly higher, HRQOL (106.1), AMP (26.9) scores, Medicare Functional Classification Levels (K2 and K3), and prosthesis usage rates (73.7%). Approximately 55.6% prosthetic users returned to work, vs. 32.1% nonusers.</p><p><strong>Conclusion: </strong>The HRQOL and functionality improved remarkably by the 6th month. Prosthesis has a positive impact on functionality, QOL, and return to work. Education is a significant determinant of prosthesis adoption and rehabilitation success.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing prosthesis fitting: A protocol for acquiring thermal and biomechanical data from lower limb amputees.","authors":"Natali Olaya-Mira, Marina Gómez-Hernández, Carolina Viloria-Barragán","doi":"10.1097/PXR.0000000000000522","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000522","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in prosthetic design, many lower limb amputees continue to experience discomfort and report abandonment rates between 25% and 57%. Issues at the residual limb-socket interface, such as pressure, friction, and poor fit, remain critical challenges affecting long-term prosthesis use. Objective: This study introduces a comprehensive protocol to collect and analyze quantitative data from transtibial amputees, incorporating thermal imaging and biomechanical measures to enhance prosthesis fitting in clinical settings.Study Design: Cross-sectional quantitative clinical study evaluating thermal and biomechanical parameters of prosthetic socket fitting in unilateral transtibial amputees.</p><p><strong>Methods: </strong>This is a cross-sectional study that employs quantitative analysis of thermal and biomechanical parameters in transtibial amputees. The study, conducted in a clinical setting, included independent unilateral transtibial amputees. Participants underwent a series of evaluations that included thermograms of the residual limb captured with a thermal camera, weight distribution using a plantar pressure platform, gait symmetry via an inertial sensor, and the 2-minute walk test (2MWT). The protocol aimed to compare the effectiveness of different suspension systems on prosthetic fit.</p><p><strong>Results: </strong>The analysis targets temperature variations at the stump-socket interface and between-system differences in thermal and biomechanical metrics. We hypothesize that suction-based systems demonstrate better thermal consistency and symmetry, pin-lock systems exhibit higher proximal temperature, and valve systems achieve the longest 2-minute walk test distances. Variability in weight distribution and symmetry will inform individualized socket adjustments.</p><p><strong>Conclusions: </strong>The integration of thermal imaging and biomechanical analysis provides a more comprehensive evaluation of prosthesis fitting. Infrared thermography (IRT), although underused, is a promising tool for identifying critical adjustments in prosthetic design. Further research and standardization of such protocols can enhance clinical outcomes and user satisfaction.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of whole-body vibration with a hip brace on hip deformity in a child with ADCY5-related movement disorder: A case report.","authors":"Ju Seok Ryu, Won-Jae Jo, Hyunji Choi, Jee Hyun Suh","doi":"10.1097/PXR.0000000000000523","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000523","url":null,"abstract":"<p><p>ADCY5-related movement disorder (ADCY5-RMD) is characterized by axial hypotonia, dyskinesia, and delays in motor development, frequently resulting in hip deformities. Currently, there is limited evidence regarding effective interventions in this population. We report the case of a 30-month-old nonambulatory boy with ADCY5-RMD, presenting with motor delay, hypotonia, and orofacial dyskinesia. Twenty weeks of whole-body vibration therapy (WBVT) with a hip brace was implemented to enhance hip muscle activity and prevent deformity. Hip parameters were assessed via radiography, muscle activity through surface electromyography, and bone metabolism via serum markers. Postintervention, migration percentage, acetabular index, and pelvic obliquity improved. Surface electromyography showed increased peak amplitude in gluteus medius, iliopsoas, and rectus femoris. Although bone mineral density remained unchanged, serum C-terminal telopeptide decreased, indicating bone health benefits. Thus, WBVT with a hip brace may improve muscle activation and reduce hip deformity in ADCY5-RMD, offering a safe, well-tolerated intervention suitable for supervised home use.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of the graduate outcomes survey to describe the demographics and short-term employment outcomes of Australian orthotic/prosthetic graduates from 2016 to 2023.","authors":"Ryan Leone, Emily Ridgewell, Brian Delaney, Michael P Dillon","doi":"10.1097/PXR.0000000000000520","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000520","url":null,"abstract":"<p><strong>Background: </strong>Given the growing demand for orthotist/prosthetists (O&Ps), it is important that graduates are employed in their chosen profession. Although graduate outcome data are routinely collected using Federal Government's Graduate Outcomes Survey (GOS), data for O&Ps are only publicly available in an aggregated form with other health professions.</p><p><strong>Objective: </strong>The aim of this study was to explore the utility of GOS data to describe the demographics and short-term employment outcomes of Australian O&P graduates from 2016 to 2023.</p><p><strong>Methods: </strong>Graduate outcomes survey data were analyzed from 2016 to 2023. Demographic and short-term employment outcomes were reported using descriptive statistics. Variation in employment outcomes were explored using multivariate regression.</p><p><strong>Results: </strong>Graduate outcomes survey data were available for 140 O&P graduates. Graduates were typically young (median 23 years), female (69%), and from medium-high socioeconomic background (87%). Proportionate employment increased over the time series to 90% in 2023. In 2023, the full-time median salary was AUD $70,000 p/annum, and variation was not explained by demographic factors. Most graduates moved interstate to a metropolitan location.</p><p><strong>Conclusions: </strong>The GOS provides high-level data describing the demographic and employment outcomes of O&P graduates. There are opportunities for universities, professional associations, and government agencies to collaboratively address some of the most pressing challenges affecting the O&P workforce, such as greater participation among Indigenous Australians or people living with a disability, to help create a pipeline of graduates that better reflects the Australian population. The benefits of richer data should be weighed against the time, cost, and expertise required to develop, administer, and analyze a profession-specific survey.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement and analysis of brace-skin interface force in the treatment of scoliosis.","authors":"Yufang Zhang, Adeel Anwar, Baoli Wei, Haiwei Guo, Yashan Feng, Shuai Li","doi":"10.1097/PXR.0000000000000526","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000526","url":null,"abstract":"<p><strong>Background: </strong>Scoliosis is a spinal deformity characterized by a 3-dimensional (3D) distortion; however, the biomechanical interaction between bracing forces and the patient's trunk remains incompletely understood.</p><p><strong>Objectives: </strong>The purpose of this study is to characterize the corrective forces exerted by scoliosis braces at the brace-skin interface during daily postures, thereby informing clinical decisions on dynamic brace adjustment/replacement to enhance treatment efficacy.Study designThis is an experimental measurement study on scoliosis orthosis for the treatment of adolescent idiopathic scoliosis.</p><p><strong>Methods: </strong>Thirty-one patients with adolescent idiopathic scoliosis (26 girls and 5 boys) were included. Brace-skin interface forces were quantified using a force collection system under 6 representative daily postures. The data were analyzed for force variations across postures/activities and correlations with scoliosis correction outcomes.</p><p><strong>Results: </strong>Compared to standing (natural breathing) when first fitted, brace-skin interface forces differed significantly for all postures (p < 0.05) except walking (p > 0.05). However, after 3 months of brace wear, forces during walking and sitting showed no significant difference (p < 0.05) compared with standing (natural breathing). Patients with right thoracic curves exhibited higher interface forces than those with right thoracolumbar curves. Importantly, no correlation was found between interface forces (after 3 months) and the percentage correction of Cobb angle or vertebral rotation (|r| < 0.41, p > 0.1). In summary, after brace intervention, the patient exhibited reductions in brace-skin interface force, Cobb angle, and vertebral rotation angle, indicating that this brace demonstrates efficacy in providing passive correction of scoliosis.</p><p><strong>Conclusions: </strong>A comparative analysis revealed a marked reduction in brace-skin interface force after 3 months of brace adaptation, regardless of body postures or curve types. Notably, respiration postures (maximum inspiration/expiration) induced significant force fluctuations during daily activities. The short-term bracing intervention (3 months) is insufficient to drive measurable spinal structural remodeling, necessitating long-term orthotic engagement coupled with timely brace modifications or replacements.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation program using a computer-controlled knee-ankle-foot orthosis for a patient with incomplete spinal cord injury: A case report.","authors":"Daisuke Imoto, Satoshi Hirano, Yushi Ozawa, Motonari Ohashi, Akihito Uno, Takashi Yamamoto, Yohei Otaka","doi":"10.1097/PXR.0000000000000528","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000528","url":null,"abstract":"<p><p>The computer-controlled knee-ankle-foot orthosis C-brace (OttoBock, Duderstadt, Germany) reportedly improves walking ability and balance. However, the physical therapy contents and duration needed to obtain these benefits have not been described. Therefore, we present a rehabilitation program designed to achieve walking ability using the C-brace in a patient with chronic traumatic incomplete spinal cord injury (iSCI). A 53-year-old man with chronic traumatic iSCI was able to walk with braces and aids after undergoing outpatient physical therapy using a C-brace at a university hospital. The patient underwent 11 sessions of physical therapy for a total of 545 min to achieve independent walking using the C-brace. Most of that time was spent on independent gait training with the C-brace: 150 min of swing phase training, 125 min of outdoor gait training, and 60 min of training on the stepper and ramp. His walking ability, balance, and ability to ascend and descend stairs improved, whereas fear of falling decreased. The C-brace may aid in these improvements; however, the benefits may not be immediate and require a certain amount of training. Clinicians need to set up the orthosis and provide a thorough explanation of its functional properties to patients to maximize its benefits.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Close cooperation between the orthopaedic prosthetists and surgeons leading a girl with femur lengthening of congenital transfemoral amputation to qualify for regular military service as a foot soldier.","authors":"Michael Hofer, Hanspeter Tschanz, Natasha Forster, G Ulrich Exner","doi":"10.1097/PXR.0000000000000516","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000516","url":null,"abstract":"<p><p>At delivery of a twin pregnancy, which had been complicated by suspected feto-fetal-transfusion and treated by amnioscopic laser treatment at 24-weeks' gestation, the right lower leg of 1 twin was described as sharply demarcated dry necrotic below distal femur level. Two days later, the mummified part \"fell off,\" and the distal femoral skin parts were excised to freshly bleeding tissue and closed primarily. At 1 year of age, a simple prosthesis was fitted stabilized by a pelvic corset. At 17 months, the girl was able to stand freely with the prosthesis. At age 2.5 years, the femoral stump was too short for a prosthesis fitted to the residual femur; a longer stump according to the prosthetist, however, would allow to fit a socket for a standard femoral exoprosthesis. After interdisciplinary discussion involving the parents, lengthening by external distraction callotasis of 4.5 cm was performed. From the age of 3 years on, the girl is mobile with a standard exoprosthesis fitted with a socket to the femur without need of pelvic support. At age 20 years, she insisted on being capable to participate in the 3-month military recruit training school, which she competitively completed including the 9-month voluntary service as soldier. Lengthening of a short femur stump in this case of a congenital amputation allowed for simpler prosthetics and excellent function.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}