Name: Stephen Onyango

Age: 16yrs

Residence: Kalenjuok Near Unyolo Primary School

Contacts: 0710575805 C/O Mother: Helida Atieno

Patient History

  • He was diagnosed as a sicklier in childhood. He had sudden sickness which affected the right limb four years ago.
  • He was taken to Siaya County referral hospital for medication. He was diagnosed with the Osteomyelitis and was given medication and discharged  home.
  • Later the condition worsened which presented with oozing of pus on the thigh region.
  • Amputation was suggested and was taken to Tenwek for amputation.
  • After the amputation, we have been doing follow up through mobile clinic and sopc at special clinic in our facility.
  • T he client have benefited from our post operative management and counseling at Tumaini rehabilitation (orthopaedic department)
  • Due to financial challenges, the parents were not able to meet the cost of the prosthesis which we had already prescribed.
  • As a mode of mobility, he has   been using crutches.

FAMILY AND SOCIAL HISTORY

  • The client comes from a family of four being the first born.
  • The children in the family are known sickler.
  • The mother is a peasant farmer and the father is in Mombasa doing construction work.
  • The mother have praying and believing that a miracle will happen for son to get a prosthesis.

On Examination

  • The slimp flabby
  • Short stump
  • No bone prominence
  • Good mm power

DIAGNOSIS

  • Above Knee Prosthesis

Plan

  • For Above Knee Prosthesis
  • For a pair of elbow crutches

 Stephen was very happy when we contacted him for measurement taking of prosthesis.

He said that the prosthesis will  help him reach school with ease which more than a kilometre away, carry out activities of daily living , and even playing  with his friends.

The photos below shows key processes of fabricating his prosthesis.

        

Figure 8; measurement taking for the prosthesis

 

Figure 9; cast taking

   

Figure 10; lamination process

     

Figure 11; fitting and gait training

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