International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Prosthetic Management and Kinetic Analysis in a Case of Congenital Hemimelia with Multiple Anomalies

Author(s) sushree sangita nayak, srikanta Moharana
Country India
Abstract Purpose: Equilibrium and mobility are interdependent phenomena critical to effective body maneuver tracking in prosthetic and orthotic (P&O) devices. Equilibrium necessitates a summative force analysis to achieve a functional resultant, particularly in P&O design. This study and related literature focus on min-imizing energy expenditure through the specific design of customized hip and knee joint geometries.
Methods: This case study involves a 7-year-old boy with congenital hemimelia, characterized by the ab-sence of the right lower limb from the hip joint, a malformed left hip joint with a pseudo knee joint slightly below it, and an internally rotated foot below the knee. The objective was to develop a simple prosthetic device to facilitate ambulation with minimal energy expenditure.
Results: The prosthetic device incorporated an alternating hip joint with elastic actuators, coordinated with a customized knee joint and a nipping foot unit, enabling dynamic gait. Gait function was analyzed using differential calculus, assessing the dynamic stability factor of the control object.
Conclusion: The patient successfully ambulated without strain, demonstrating the efficacy of the device. Gait parameters can be optimized by adjusting the elastic spring actuators, suggesting potential for further refinement.
Keywords Equilibrium, Conjugate Phenomena, Minimum Energy Expenditure, Dynamic Gait, Dynamic Stability Factor
Field Medical / Pharmacy
Published In Volume 7, Issue 4, July-August 2025
Published On 2025-07-16
DOI https://doi.org/10.36948/ijfmr.2025.v07i04.50428
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E-ISSN 2582-2160
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