The sequela of polio usually has irreversible damage on the function of lower extremity motor. Limb deformity and limitation of movement are the biggest impact on polio patients. The goal of rehabilitation is to help rebuild movement function ofpolio patients and get away from crutches to walk freely. Rehabilitation engineering experts develop a technical solution to effectively help polio patients through unceasing exploration of new material and technique.This article is a typical case of special orthosis from MEDI-REHATEK applying to polio patient.
Patient’s briefings:
Male patient aged 28 years, was diagnosed as polio when he got the high fever at the age of 8 months. He had surgery at the childhood. Unequal length of bilateral lower extremity is inspected before installing orthosis, left side is 11CM shorter than the right side. Hip growth is not complete as well as the left limb without muscle strength.Force leads plantar subluxation.There are less than 10°of knee flexion contracture. Ankle turns inversion and droops.X-ray examination showed poor bone quality. The development of right lower limb is more complete, hip morphology and muscle strength are normal.Knee morphology is normal but with weak muscle .It autonomously stabilizes the ankle joint when the knee is upright.Ankle morphology is normal without muscle strength, droops when walking; He walked with walking cane before installing orthosis.
The design idea of MEDI-REHATEK orthosis:
1 Lengthen the left side extra 10 cm to fix the problem of unequal length of bilateral side ,to avoid affecting the spine morphology;
2. Fix the left knee to create natural conditions for stand by himself;
3, Moderately bearing-free design for left limb, to avoid pressured or pathological fractures due to force on poor bone;
4, The main load-bearing parts of left side is transferred to the plane of the ischium, to ensure without dislocation of the hip when the force on left side;
5, The rolling device on insole ensures the stability meanwhile people can easily walk over;
6, Hidden design in shoe can keep design features also with an aesthetic appearance;
7, The correction for flexion contracture on the left knee creates better physical condition for the secondary assembly;
8, Correction for foot varus, control droop and slightly spasm;
9, The use of dynamic ankle-foot orthosis is for foot drop and varus;
10, The rehabilitation goal is to let patient be away from the crutches and walk independently.
A good article about Diagnosis for Congenital hip dysplasia,that is useful for patient with congential hip dysplasia.
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