Case Report: Description of two fractures during the use of a powered exoskeleton
| Autor: | Hennie Rijken, Noël L.W. Keijsers, F H M van Herpen, R.B. van Dijsseldonk, Jan Willem K. Louwerens, I J W van Nes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Stress fractures business.industry Powered exoskeleton Poison control Case Report Dermatology Bone fracture Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] medicine.disease Exoskeleton Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Physical medicine and rehabilitation Neurology medicine In patient business Shut down Spinal cord injury human activities |
| Zdroj: | Spinal Cord Ser Cases Spinal Cord Series and Cases, 5, 99 Spinal Cord Series and Cases, 5, pp. 99 |
| ISSN: | 2058-6124 |
| Popis: | Contains fulltext : 215583.pdf (Publisher’s version ) (Closed access) Introduction: Powered robotic exoskeletons are a promising solution to enable standing and walking in patients with spinal cord injury (SCI). Although training and walking with an exoskeleton in motor complete SCI patients is considered safe, the risks of unexpected (technical) adverse events and the risk of fractures are not fully understood. This article reports the occurrence of two different cases of bone fracture during exoskeleton usage. Furthermore, advice is given for extra safety training and instructions. Case presentation: The first case concerns a 47-year-old woman with T12 AIS A SCI. Her exoskeleton shut down unexpectedly probably causing a misalignment of the joints of her lower extremities relative to the joints of the exoskeleton, which resulted in a fracture of her left tibia. The second case involves a 39-year-old man with L1 AIS B SCI. An unexpected fracture of the right distal tibia occurred without a specific prior (traumatic) incident. Discussion: Exoskeleton training instructors, SCI patients and their buddies should be instructed how to handle emergency situations. Furthermore, they should be aware of the risk of stress fractures of the lower extremities. Proper alignment of the exoskeleton relative to the body is of utmost importance to reduce fracture risk. In the case of swelling and discoloring of the skin, radiographic examination should be performed in order to exclude any fracture. |
| Databáze: | OpenAIRE |
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