Presenter: Basit Rehman.257

CONTENTS Subjective assessment

Objective assessment

Diagnosis

Prescription

Patient education

Cost calculation

Conclusion

Subjective assessment Personal information

Pt. Name Mr. Essa Khan

F. Name Said Ahmad

Age 46 years

Address kharkhno, Peshawar

Social condition

• Occupation: shopkeeper

• Living arrangements: Single storey house

• Financial condition: Satisfactory

• Activity level : K3

Subjective assessment● Medical history : No medical history except amputation.

● Pain history: No pain history.

Past history: Patient was born normal, in age of 23year he get

affected by bomb blast in kabul war and admitted at ICRC hospital

peshawar . so transtibial amputation was done of his right lower

limb.

● Previous treatment

• No of prosthesis used: 02

Subjective assessment Present complaint in old appliance

Pain at different areas + heavy prosthesis

● Patient expectation

• Wants a new light in weight prosthesis in which he could walk with

ease and comfort

Observation

• Posture: Erect

• Muscular atrophy: No

Subjective assessment

Stump condition

Size

Shape

Stump end

Scare

Formation

Objective assessment

Clearance tests: -ive

Special tests: -ive

Reflexes: Normal

Temperature: Normal

Objective assessment

Side Movement Grade 0-5

Active ROM

Right Flexion 4 120

Extension 4 30

Adduction 4 45

Abduction 4 30

Side Movement Grade

0-5

Active ROM

Right Flexion 4 S

Extension 4 0

HIP

KNEE

DiagnosisRight lower limb Transtibial amputation at the level of

proximal 1/3rd

Cause: Bomb Blast

Prescription TRANSTIBIAL PROTHESIS

• Type of prosthesis: PP technology ICRC

• Socket type: PTB SC-SP

• Suspension: Supracondylar

• Foot: CR foot R 25

• Inner liner: 9mm tape foam

• Cosmesis: PP(7mm) Double hard

Comparison of old and new appliance

Deviations With Previous Prosthesis

With New Prosthesis

Antalgic gait Present Reduced

No heel contact Present Reduced

Uneven step length Present Reduced

Uneven arm swing Present Reduced

Patient education• Donning and doffing of prosthesis.

• Exercises prescribed by physiotherapist.

• Stump care.

• Prosthesis care.

• About repairing contact with the prosthesis.

• Next review.

Cost Calculation

Rs. 16200

Materials Cost

Rs. 3200

Labour Cost

Rs. 19400

Production Cost

Rs. 9700

Overheads (50%)

Rs. 29100

Prime Cost

Rs. 2910

Profit (10%)

Rs. 32010

Conclusion

Patient came to the clinic with an expectation to get a new

prosthesis, which could mobilizes him with ease and comfort.

Careful assessment in detail and proper selection of components

made it possible to fulfill patient’s demand and satisfactory

prosthetic treatment.