Prosthetic rehabilitation of amputated hallux after distraction osteogenesis: one-year follow-up.
BACKGROUND
The great toe helps in maintaining body balance during standing, walking, running, dancing, and so on.


CASE DESCRIPTION AND METHODS
A 22 year-old female patient reported to the department, one month after losing her left hallux in a road accident. Anatomical reconstruction was performed with distraction osteogenesis. The prosthesis was constructed using a wax pattern of the normal hallux to create a silicone prosthesis. The residual limb mold was altered to increase prosthesis retention.


FINDINGS AND OUTCOMES
The procedure was economical, conserved materials, and produced lifelike anatomy without requiring artistic expertise.


CONCLUSION
Distraction osteogenesis helped in improving function and retention of the prosthesis. Satisfactory esthetic and functional results were observed at the one-year follow-up.


CLINICAL RELEVANCE
Distraction osteogenesis of the amputated hallux improved prosthetic prognosis by aiding retention. Modifications were made in the conventional prosthesis fabrication technique to increase retention, as the hallux is in constant movement and/or friction.
['Gautam|Rupali|R|', 'Singh|Saumyendra V|SV|', 'Agrawal|Rajiv|R|', 'Chand|Pooran|P|', 'Tripathi|Shuchi|S|', 'Alvi|Habib A|HA|']
D000674:Amputees D005260:Female D005500:Follow-Up Studies D006214:Hallux D006801:Humans D019857:Osteogenesis, Distraction D011379:Prognosis D019736:Prostheses and Implants D011474:Prosthesis Design D012828:Silicones D016896:Treatment Outcome D055815:Young Adult
amputation Hallux distraction osteogenesis silicone prosthesis implants