1. 1 CASE STUDY HARMONY PROSTHETIC SYSTEM Presented by Ellen Chu at NSW PAR meeting 10 th February 2006

2. 2 Mr. G 65 years old Admitted to Mt Wilga Private Hospital on 31/05/05 following L trans-tibial amputation on 24/05/05. No post-op complications. PMH: L&R unicompartmental knee replacements, NIDDM, OA shoulders, HT

3. 3 HPI L fem bypass April 04, graft blocked twice in Jun 04 and Nov 04, unblocked by angioplasty. Jan 05, graft blocked again and underwent fem-pop bypass. Graft blocked in April and May 05. L Trans-tibial amputation 24/05/05 R fem-pop bypass in Nov 03 ~30% flow

4. 4 SHx Lives with wife in a level house with no steps. Previously independent with all ADL’s. Preoperatively could mobilise up to 50m before having to rest, due to pain. Active, vice-president of a local soccer club.

5. 5 On admission Independent with bed mobility and transfer Independent with hopping using a FASF ~25m Normal ROM except L knee -10° extension from previous surgery

6. 6 Physiotherapy management Mobility training Strengthening exercises Prone lying CV fitness Swelling management commenced on 14/06/05 (stump bandages and shrinkers)

7. 7 Casting on 05/07/05 for PTB prosthesis. Prosthetic training commenced on 07/07/05 and he was progressed to walking with a walking stick on 11/07/05. Discharged to home on 23/07/05.

8. 8 Issues with PTB Swelling control Pain from the strap Solution??

9. 9 HARMONY System Casting on 19/09/05 No changes to actual gait pattern No pain from the strap No need to wear or adjust number of socks More comfortable walking