Clinic Chiefs Meeting Has International Flavor

The 1969 meeting of Chiefs of Child Amputee Clinics was held at the National Academy of Sciences Building in Washington, D.C. on May 8 and 9, 1969, with approximately 110 persons in attendance. The program of the meeting was conducted by George T. Aitken, M.D., Chairman of the Subcommittee on Child Prosthetics Problems of the Committee on Prosthetics Research and Development, National Academy of Sciences, National Research Council.

Twenty-seven of the 28 clinics participating in the cooperative research program were represented, together with representatives from 12 child amputee clinics not yet affiliated with the program. Approximately 20 guests from various foreign countries also participated. Among the countries represented were Australia, Ceylon, England, Germany, India, Morocco, Pakistan, Poland, Sweden, Tunisia, and Yugoslavia.

Several orthopedic surgeons, prosthetists, orthotists, and therapists from various hospitals, universities, and treatment centers in the Washington, D.C. area were also present.

The program started on an international note with physicians from foreign countries, as well as the United States, presenting information on "The Treatment of the Child With Severe Limb Deficiencies" in their respective countries. The speakers included Dr. Ernst Marquardt and Dr. Gotz Gerd Kuhn from Germany; Dr. D. S. McKenzie from Great Britain; Messrs. Bo Klasson and Gunnar Holmgren from Sweden; and Dr. Claude N. Lambert from the United States.

The remainder of the program on Thursday, May 8, was taken up with discussions on the cooperative research program. Dr. George T. Aitken opened the discussion and he was followed by Mr. Colin A. McLaurin, Dr. Sidney Fishman, and Dr. Yoshio Setoguchi and others. Dr. Fishman reported on a census taken during the 1967-68 period at the various child amputee clinics in the United States (Table 1 Table 2 ).

Several new products for the child amputee were also discussed. These included:

  1. An electrically powered cart for transportation of the severely handicapped child.

  2. An all-nylon wrist unit which would be about half the weight of the conventional friction wrist and be available in three sizes (1-1/2", 1-3/4" and 2" diameter).

  3. A passive light-weight elbow for the very young child with an above-elbow or shoulder-disarticulation amputation.

  4. A child's terminal device of new design.

The program on Friday, May 9, consisted primarily of a symposium on "The Surgical and Prosthetic Management of Lower Extremity Anomalies." Speakers presenting papers at the symposium were: Charles H. Frantz, M.D.-"Sacral Agenesis"; Leon M. Kruger, M.D.-"Fibular Hemimelia"; George T. Aitken, M.D.-"Tibial Hemimelia"; and Frederic W. Brown, M.D.- "Fibula Transplant in Tibial Hemimelia."

The meeting concluded with a presentation of patients with lower-extremity anomalies and discussion of their treatment by Charles H. Epps, Jr., M.D., Chief of the Child Amputee Clinic at D.C. General Hospital.

-Joseph M. Cestaro