Maximizing functional mobility in an electrical burn patient using a patellar tendon bearing orthosis.

Abstract

Injury to the foot and ankle without involvement of the knee, requiring a patient to become non-weight-bearing or even needing amputation, is a common problem resulting from diverse causes, including diabetic foot ulcers and trauma. The patellar tendon bearing orthosis may be a good option for patients who would functionally deteriorate, attempting to live their lives without the use of a leg. This brace was introduced 58 years ago; however, it is under-utilized clinically and under-represented in the literature. A 25-year-old man with severe electrical burn injuries resulting in an unstable ankle who, through the use of patellar tendon bearing orthosis and therapeutic rehabilitation, was able to walk at a supervision level without additional assistive devices. The patellar tendon bearing orthosis is recommended, not only for other burn patients who are unable to weight-bear through their ankle-foot complex, but for other patients, such as trauma patients, to allow for ambulation.