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Lower limb prosthetic considerations in persons with coagulopathies
M Heim1, M Azaria1, L Heijnen1
1*Lewis National Institute of Rehabilitation, The Chaim Sheba Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University ,Department of Orthopaedic Rehabilitation, The Chaim Sheba Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University ,Van Creveld Clinic, AZU Utrecht and Rahabilitation Center, de Trappenberg, Huizen, Holland.
Abstract:
Most able-bodied amputees use artificial limbs for ambulation. Special considerations are required for persons with coagulopathies because excess pressure or friction may result in soft-tissue haemorrhages. Persons with haemophilia have multi-articular pathologies, hence the necessity to consider carefully the use of accessory walking aids. The use of walking aids results in biomechanical forces being applied through the upper limb joints and this may cause haemarthroses.
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