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Adaptive Device for Increasing Transfer Mobility in a Patient with Multiple Fractures: Suggestion from the Field

T. LaTorre, BS, is Senior Orthopaedic Physical Therapist, Department of Physical Therapy, North Carolina Memorial Hospital, Chapel Hill, NC 27514 (USA).
L. Dahners, MD, is Assistant Professor, Division of Orthopaedics, Department of Surgery, The University of North Carolina at Chapel Hill, SB 7055, Burnett-Womack Building, Chapel Hill, NC 27599.
M. Wise, MD, is Resident, Division of Orthopaedics, Department of Surgery, The University of North Carolina at Chapel Hill.

This excerpt was created in the absence of an abstract.

Achieving independent transfer mobility in patients with multiple extremity fractures can be a challenging problem for physical therapists. Although internal fixation of fractures can establish a condition in which the patient is free from traction, casts, and splints, internal fixation is not always strong enough to allow weight-bearing on the fractured extremities. The purpose of this report is to describe a method by which we successfully taught a patient with multiple fractures to transfer from bed to wheelchair independently.

The patient was a 33-year-old man who was involved in a motor vehicle accident and sustained the following injuries: 1) left open patella and supracondylar femur fractures, 2) right comminuted subtrochanteric femur and open tibial tubercle and distal patellar pole fractures, and 3) right Galeazzi's fracture (fracture of the shaft of the radius with dislocation of the distal radioulnar joint). Each fracture was treated with open reduction and internal fixation....

Key Words: Equipment, self-help • Orthopedics, fractures, transfers • Orthotics/splints/casts, upper extremity • Upper extremity, equipment

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