Management of quadruple amputee in a Tunisian rehabilitation service: Results and challenges

  • Toulgui E
  • Maaref K
  • Mtawaa S
  • et al.
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Background.- Four limbs major amputation “quadruple amputation” is rare. It often occurs after electrical burns. We report the case of a four limb amputated child followed up in a PMR department. Case report.- K.S. was victim at the age of 13 of an electric shock. It caused damage as a third degree burn of the four limbs complicated by compartment syndrome. He has an amputation of the 2 arms and the 2 legs. The patient underwent a specific rehabilitation program, which spread out over seven months and led to the acquisition of two myoelectric prosthesis and two modular tibial prosthesis types PTK. At 10 months postoperative, our patient was able to have a good autonomy in daily life activities. Several difficulties were observed, as a compression of the femoral nerve in the left femoral triangle, wounds and bursitis in both lower limbs and problems of maceration in the two upper limbs. Discussion.- This case study illustrates the factors involved in the rehabilitation of a quadruple amputee. The physical and prosthetic problems to be addressed are numerous and require a multidisciplinary approach. Nevertheless, with a positive attitude return to work and a fulfilling life are possible.




Toulgui, E., Maaref, K., Mtawaa, S., Faiez, M., Zaoui, A., & Khachnaoui, F. (2014). Management of quadruple amputee in a Tunisian rehabilitation service: Results and challenges. Annals of Physical and Rehabilitation Medicine, 57, e125–e126.

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