Myoelectric Management of the Pediatric Amputee
HAROLD M. DICK, MD*, GLENN HUTNICK, CPAND ROBIN AKDENIZ, OTR***New York, New York
During the past 24 months, eight congenital upper-limb amputees have been fitted with myoelectric prostheses. An additional patient is currently under evaluation for an electronic forequarter prosthesis. Seven are below-elbow amputees and one has an above-elbow amputation. Children range in age from 3 to 14 years.
The patients were managed with the Otto Bock and University of New Brunswick myoelectric systems. All patients were fitted myoelectrically following acceptance and use of conventional shoulder-harness-operated prostheses. Each was evaluated with the appropriate tester for the brand of prosthesis.
8 patients had positive acceptance of the prosthesis.
1 patient had continuous breakdown of the prosthesis and required many repairs.
8 patients returned to their school and recreational environments without difficulty.
Management of these patients is reviewed, including type and component selection, and occupational therapy with respect to pre-prosthetic evaluation and training following delivery. Patients' reactions and prosthetic problems as well as potential solutions that have been found in our follow-ups and fittings are described.
*Director of Orthopaedic Surgical Services, The Presbyterian Hospital, Columbia Presbyterian Medical Center, 622 West 168th Street, New York, NY 10032
**G.F.H. Orthotic and Prosthetic Laboratories, Inc., 128 Fort Washington Avenue, Suite C, New York, NY 10032
***Columbia Presbyterian Medical Center, 622 West 168th Street, New York, NY 10032