Mr. Shah had D12 compression fracture, spinal cord compression with ASIA type B with neurological level of injury D12 & fracture upper end humerus. After one and half month of ambulation training he could walk with walker with moderate assistance for balance during dynamic activity of walking and assistance for stepping leg forward. He was taking hot fermentation for pain around shoulder of left side which had humeral fracture. Unfortunately he kept the hot water bag by side of the Lt thigh. Because he didn’t had sensation below D12 ( below groin region) he couldn’t realized his mistake and he got huge burn on the anterior aspect of the thigh.
This where we had a big setback in patient of SCI walking with walker and KAFO. Because of burn we couldn’t put on the KAFO till the burns heal. It would have taken 2-4 weeks for healing. That means we would have lost one month of ambulation training. But I was ready to waste one month of ambulation training. We waited for 2 day till the boils burst and allowed the fluid of burn to drain partially.
I was very disturbed I wanted to start walking as soon as possible. Suddenly I got a brilliant idea. In a KAFO we have 3 bands of support. 1. Thigh band, 2. Knee band /cuff & 3. Calf band.
So I tied AFO, Knee band/cuff & Calf band and did not tied thigh band which was coming over the burn are over the anterior aspect of thigh.
With AFO, knee strap and thigh pad we got 3 point support and could manage without thigh band. I could start walking with KAFO within 2 day of burns.