I am writing on the behalf of my patient, to document the medical necessity of a transfemoral prosthetic. Patient is a 17 year old male who underwent a transfemoral amputation six weeks ago secondary to osteosarcoma. Patient was independent in all activities and enjoyed playing basketball on the weekends prior to amputation. After high school, the patient intends to join the military. The patient’s goals are to resume prior level of function and participate in above mentioned activities. The patient currently demonstrates adequate strength and mobility for a prosthetic leg and has the ability to maintain balance on his intact limb. He is also able to ambulate independently using crutches and is independent in basic tasks including transfers
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Patient would benefit from a prosthesis which includes the following characteristics: single axis knee with hydraulic friction and suction suspension and a dynamic response short keel foot in order to complete independent daily tasks and leisure activities. Since the patient has the potential to be a community ambulator, walk at varying speed in the community on a regular basis, and needs to navigate a variety of environmental barriers, this patient has the potential to be a K3 or 4 level. The prosthetic components listed above are designed for K3/4 level individuals and would allow the patient to achieve his goal of returning to his prior level of function. In addition, this patient will need to navigate eight steps in order to enter his home and be able to maneuver various obstacles at school. The use of a hydraulic knee mechanism will allow for controlled flexion and extension of the knee in both stance and swing phase of gait to provide the patient the ability to be independent in all tasks and fulfill his duty in the military. The suction suspension will allow easy donning and doffing of the prosthesis for the patient compared to other types of suspension and is ideal for individuals who are young and fairly active. A Dynamic Response Short Keel foot will provide this patient the ability to better adapt to changes and barriers he will face as he is out in the community and also allow the patient to participate in activities related to the
Patient would benefit from a prosthesis which includes the following characteristics: single axis knee with hydraulic friction and suction suspension and a dynamic response short keel foot in order to complete independent daily tasks and leisure activities. Since the patient has the potential to be a community ambulator, walk at varying speed in the community on a regular basis, and needs to navigate a variety of environmental barriers, this patient has the potential to be a K3 or 4 level. The prosthetic components listed above are designed for K3/4 level individuals and would allow the patient to achieve his goal of returning to his prior level of function. In addition, this patient will need to navigate eight steps in order to enter his home and be able to maneuver various obstacles at school. The use of a hydraulic knee mechanism will allow for controlled flexion and extension of the knee in both stance and swing phase of gait to provide the patient the ability to be independent in all tasks and fulfill his duty in the military. The suction suspension will allow easy donning and doffing of the prosthesis for the patient compared to other types of suspension and is ideal for individuals who are young and fairly active. A Dynamic Response Short Keel foot will provide this patient the ability to better adapt to changes and barriers he will face as he is out in the community and also allow the patient to participate in activities related to the