“Dificultad en el uso óptimo de prótesis de miembro inferior izquierdo debido a atrofia muscular y deformidad del muñón a nivel transtibial”

Abstract

The present investigation is developed based on the clinical case analysis of a female patient of 65 years of age with type II diabetes, chronic renal failure, arterial hypertension as relevant personal pathological history; With a diagnosis of amputation at the left transtibial level of diabetic origin, which began with the presence of a fingernail, as a result of its withdrawal, an ulcer developed that advanced and ended causing the amputation of the finger at the level of the distal phalanx, after which it was proceeded to amputation below the knee due to lack of circulation at the level of the lower limb. An analysis of the clinical picture, risk factors, critical points, and complications that caused long-term muscular atrophy and limitation of mobility due to lack of immediate physical rehabilitation since the first lower limb amputation to which it was submitted is carried out. to future difficulty in the optimal use of lower limb prostheses. A post-surgical and prosthetic physiotherapeutic treatment is proposed for training based on strengthening, balance and independence.