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Prosthetic Design for a Chronic Foot Deformity

Mr. Eickman is Director, Department of Prosthetics and Orthotics, Medical Center Rehabilitation Hospital, Grand Forks, ND 58202.
Ms. Benson was Staff Physical Therapist, Grafton State School for the Mentally Retarded, Grafton, ND 58237, when this article was written. She is now a physical therapist in the public school systems, Northwest Regional Interdistrict Council, Newfolden, MN 56738.

This excerpt was created in the absence of an abstract.

This patient is a 29-year-old, severely retarded man with Down's syndrome who has been a resident of a state facility for the mentally retarded for the past 26 years. He had acquired a severe rigid equinus deformity of the right foot and the dorsal aspect of the foot was quite prominent over the superior surface of the navicular bone (Fig. 1). Because of this abnormality, he developed contractures of his knee flexor muscles, resulting in a loss of about 20 degrees of complete knee extension. Hip motion demonstrated tightness of the hip flexors and abductors.

This patient was evaluated by an orthopedic surgeon and a physiatrist at a regularly scheduled visit to an orthopedic clinic. They believed that surgical correction would not be beneficial and referred the patient to the prosthetic laboratory at a regional rehabilitation hospital. He was again evaluated at an amputee clinic by the clinic team....

Key Words: Contracture • Foot deformities • Physical therapy • Prosthesis design

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