Modified Walking Aid Enhancing Ambulation without Pain Postmachine injury Where a Surgeon Decides 6-Month Rest to initiate Ambulation: A Case Study.

Occupational injuries create a lot of trouble not only in the management of wound but also in the process of integration too. Some of the industrial accidents are not life-threatening, but the impact is larger than that, i.e., permanent damage to the body part which reduces one or more major functions. A patient came with occupational injury to us with badly damaged hind foot (mid of foot to heel, tendo achilles, and lower calf) but fortunately forefoot was spared. He was a young man and a bread earner for his family. With multiple surgeries, somehow wounds are managed, but the question arises was the patient is able to walk? As per surgeon, discretion, he estimated at least 6 months to initiate weight bearing for walking. 10 days (postwound healing for rehabilitation), 3 weeks (hospital stay). Sole of the foot was so badly damaged that weight-bearing bulk and muscles are lost, resulting into loss of cushion at sole. The patient could stand with the unconventional splints and modified walking aid on the 3rd day after dressing removal and able to walk by walker on the 5th day. He took 7 days for independent walking and stair 1W climbing. Since the patient was made to walk during hospitalization, he did not require conventional follow-ups. With the use of so, he was quite comfortable in walking. Periodically, change in shoes was required and status of scar has to be monitored every time to ensure proper mobility. It was important to keep hopes alive even in difficult situations. Sometimes, a consultant may not sure about prognosis in rehabilitation, due to low awareness in tier 2 cities about occupational therapy. Here, with the use of optimum knowledge and application, the patient is not only able to walk, but he also resumes his job to earn bread within 45 days of injury. A successful discharge requires a multidisciplinary approach. [ABSTRACT FROM AUTHOR]