# Prosthetic Rehabilitation After Transfemoral Amputation in a Patient With an Ipsilateral Girdlestone Hip: A Case Report

## TL;DR

A patient who had a hip procedure successfully walked with a transfemoral prosthesis after a four-month rehabilitation program.

## Contribution

This is the first reported case of successful prosthetic rehabilitation after a transfemoral amputation following the Girdlestone procedure.

## Key findings

- A 66-year-old man successfully walked using a transfemoral prosthesis after the Girdlestone procedure.
- The ischial tuberosity served as the primary load-bearing site in the prosthesis socket.
- Appropriate prosthetic design and rehabilitation enabled ambulation in this unique case.

## Abstract

To date, there have been no reported cases of patients walking with a prosthesis after receiving an ipsilateral transfemoral amputation following the Girdlestone procedure. We administered a four-month prosthetic rehabilitation program to a 66-year-old man after his transfemoral amputation following the Girdlestone procedure. As a result, he was able to walk using the prosthesis for his daily activities. The prosthesis socket featured a quadrilateral configuration. The patient's ability to ambulate after the Girdlestone procedure was attributed to his ischial tuberosity serving as the primary load-bearing site in the transfemoral prosthesis. With appropriate prosthetic design, fabrication, and rehabilitation, patients can walk using a transfemoral prosthesis even in cases of transfemoral amputation following the Girdlestone procedure.