Prosthetic fitting in a patient with a transtibial amputation due to a congenital vascular malformation of the right leg

Elisabeth K. Simmelink*, Gerardus M. Rommers, Jean W. M. Gardeniers, Henk Zijlstra

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    1 Citation (Scopus)


    Background: The problems of prescribing a prosthesis for a young girl with severe congenital vascular malformation deformity leading to a transtibial amputation.

    Case description and methods: Due to the high risk of recurrent bleeding and limitations regarding full weight bearing of the stump, a normal socket fitting process was not possible. Using a multidisciplinary approach, a prosthesis was designed to enable full weight bearing in a flexed knee position with ischial tuberosity support to prevent full weight bearing on the tibial part of the stump.

    Findings and outcomes: After training and adjustments to the design, a definitive prosthesis with a free motion mechanical knee joint could be used. During the training with this prosthesis, no skin problems were observed, and at the end of the rehabilitation, the patient had a high level of activities of daily living and sports.

    Conclusion: The above prosthetic solution with an adjusted socket design proved to be successful in this case.

    Clinical relevance In a patient with severe congenital vascular malformation deformity leading to a transtibial amputation, fitting of a good prosthesis without full weight bearing of the stump proved to be successful.

    Original languageEnglish
    Pages (from-to)167-170
    Number of pages4
    JournalProsthetics and Orthotics International
    Issue number2
    Publication statusPublished - Apr-2014


    • Lower limb amputation
    • vascular malformation
    • lower limb prosthesis
    • rehabilitation
    • activities of daily living
    • LIMB

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