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Front Matter - The Journal of Bone & Joint Surgery

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S......<br />

ATLANTA 1, GA.<br />

BALTIMORE 1, MD.<br />

BIRMINGHAM 1, ALA.<br />

BOSTON 16, MASS.<br />

CHARLESTON 2, W. VA.<br />

CHARLOTTE 2, N. C.<br />

OIICAGO 5, ILL<br />

CINCIPIATI 2, OHIO<br />

<strong>The</strong> Clinical Approach to Prosthesis<br />

<strong>The</strong> Clinical Approach at the<br />

Woodrow Wilson Rehabilitation<br />

Center, Fisherville, Virginia,<br />

features the Clinical<br />

Team-the Orthopedist, the<br />

Prosthetic Technician (ci HAN-<br />

GER Certified Prosthetist),<br />

the Physical <strong>The</strong>rapist, and<br />

the Occupational <strong>The</strong>rapist (for<br />

arm amputees only).<br />

All amputee patients are examined<br />

by this Clinical Team<br />

with the complete medical<br />

history and other records at<br />

hand. During the examination<br />

the patient is analyzed<br />

as an individual case with<br />

his particular advantages<br />

and limitations evaluated in<br />

relation to the possible courses<br />

<strong>of</strong> treatment. For example,<br />

whether a particular stump<br />

or joint condition can be corrected<br />

with therapy, or with<br />

special prosthesis fitting and<br />

construction; if not, is further<br />

surgery desirable. <strong>The</strong>n a<br />

AVAILABLE AT AUTHORIZED<br />

course <strong>of</strong> rehabilitation is<br />

prescribed by the Orthopedist,<br />

including the Physical<br />

(and Occupational for arm<br />

amputees) <strong>The</strong>rapy necessary,<br />

the type <strong>of</strong> Prosthesis<br />

to be worn, and other special<br />

treatment or training required.<br />

Immediately the patient’s<br />

treatment by the Center begins<br />

according to the Prescription.<br />

<strong>The</strong> patient receives<br />

pre-prosthetic therapy in<br />

which the stump is conditioned<br />

to provide the most<br />

efficient use <strong>of</strong> the Prosthesis.<br />

He is supervised and<br />

treated in baths, heat, exercise,<br />

etc., by therapists and<br />

nurses specially-trained for<br />

this work.<br />

When the patient actually begins<br />

to wear the prosthesis,<br />

the Clinical Team again works<br />

closely together in the rehabilitation<br />

program. <strong>The</strong><br />

Prosthesis itself has been<br />

fabricated according to the<br />

measurements and specifications<br />

taken by the Prosthetist<br />

member <strong>of</strong> the Clinical Team.<br />

Careful attention is now<br />

given to fitting adjustments,<br />

continued therapy, and training<br />

exercises, such as walking,<br />

sifting, steps, etc. Unusual<br />

problems are cause for<br />

a complete review and possible<br />

change <strong>of</strong> prescription.<br />

For arm amputees, Occupational<br />

<strong>The</strong>rapy now becomes<br />

COLUMBIA 5, 5. C.<br />

COLUMBUS 5, OHIO<br />

DALLAS 1, TEXAS<br />

EVANSVILLE, IND.<br />

INDIANAPOLIS 2, IND.<br />

JACKSONVILLE, NA.<br />

KNOXVILLE, TEPII.<br />

MEMPHIS, TEI*I.<br />

MIAMI 37, FLA.<br />

tion through blocks, games,<br />

doorknobs,<br />

etc.<br />

faucets, tools,<br />

S......<br />

FACILITIES IN THE FOLLOWING CITIES:<br />

MOBILE, ALA.<br />

MONTGOMERY, ALA.<br />

NASHVILLE, TENN.<br />

NEW ORLEANS 19, LA.<br />

NEW YORK 11, N. Y.<br />

OKLAHOMA CITY 3, OKLA.<br />

ORLANDO, FLA.<br />

PHILADELPHIA 7, PA.<br />

PITTSBURGH 30, PA.<br />

In answering advert is(’IUeIIt s, please mentioti ‘l’he <strong>Journal</strong> <strong>of</strong> <strong>Bone</strong> and .Joinl ‘suraer!/.<br />

30<br />

important, and the amputee<br />

spends part <strong>of</strong> each day<br />

learning to use the Prosthesis<br />

and to live an independent<br />

life. Trained <strong>The</strong>rapists and<br />

nurses supervise the teaching<br />

<strong>of</strong> dexterity and manipula-<br />

Most patients are ready for<br />

discharge in about six weeks.<br />

Each must appear at the<br />

Clinic for a final Prosthetic<br />

Performance Check-out by<br />

the Clinical Team and Official<br />

release by the Orthopedist.<br />

This is one <strong>of</strong> many such<br />

Centers throughout the country<br />

where HANGER Technicians<br />

function as integral<br />

members <strong>of</strong> the Clinical Team.<br />

Each is an ABC Certified<br />

Prosthetist, and trained in<br />

Team rehabilitation. Feel free<br />

to call on any HANGER <strong>of</strong>fice<br />

for service at any time.<br />

RALEIGH, N. C.<br />

RICHMOND iS, VA.<br />

ROANOKE 12, VA.<br />

ST. LOUIS 3, MO.<br />

SHREVEPORT, LA.<br />

TAMPA 2, FLA.<br />

WASH*IGTON 13, D. C.<br />

WILKES-BARRE, PA.

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