Deist & Associates first met up with Ryno just one week after the traumatic amputation of his left leg below the knee last October. Ever since we first met him, Ryno has had an extremely positive attitude towards his rehabilitation, which was more challenging than usual since, in addition to his amputation, his right leg and left arm were also fractured.
This resulted in him being confined to a wheelchair for eight weeks before we could even start him on an interim prosthesis, a considerable delay.
Because he had been confined to a wheelchair for such a long time, by the time the big day arrived when he was to try to stand again, Ryno immediately experienced problems. He experienced suffered extreme pain in his residual leg, and in addition the muscles in his sound limb were very weak through not having been used for such a long time. We tried to work around the pain, but were unsuccessful, and after three weeks it became obvious that something more serious was wrong.
After consultations with an Orthopaedic Surgeon, the decision was made to carry out a revision amputation. During this operation the surgeon discovered and removed three large neuromas from the distal end of his stump. He also shortened the distal end of the Tibia, since it was very prominent and lay directly under the skin with a very sharp and uneven bony end.
A rigid dressing was applied in theatre, and this remained on for a period of eight days. This was followed by post op liners for one week, and only two weeks after surgery Ryno was up and about, walking in his modular total surface bearing socket. There is little doubt that this was a record time from amputation to ambulation!
We worked closely with a physiotherapist in order for Ryno to achieve proper rehabilitation. Ryno was given a series of exercises that he had to carry out in order that his much weakened muscles could get back into shape again. Ryno had to learn to walk again, to climb and descend steps, and to run. In fact he was given a great number of exercises to carry out.