Prosthetic rehabilitation gives Sudanese boy a second chance after wartime amputation

Zaher’s return to walking began long before he took his first careful steps on prosthetic legs. It started with survival after a drone strike in Khartoum, then moved through surgery, months of rehabilitation, and the slow psychological work of learning how to live inside a changed body. For a 13-year-old who once asked why his legs had been cut off, the progress in Cairo is both mechanical and emotional: a pair of prostheses, a room for training, and a clinical team trying to restore movement after catastrophic war injury.

His case reflects the scale of injury now hidden inside Sudan’s civil war. More than 17 million children need humanitarian assistance, and UNICEF has verified at least 4,300 killed or maimed, with the true toll believed to be far higher. In war medicine, amputation is never just a surgical endpoint. It marks the beginning of a long chain of care involving wound management, rehabilitation, gait training, family support, and repeated adjustment as a child grows. Zaher’s story shows how much of that chain depends on leaving the conflict zone altogether.

A drone strike turned childhood mobility into a rehabilitation problem

Before the injury, Zaher loved football. During the fighting in Khartoum, food and basic supplies were scarce, and his family had little money to flee. They sold lentils on the street to survive. Then a drone struck while he and his mother were working side by side. Habibah later described seeing blood everywhere. After that, Zaher could only move on his knees, a painful workaround that carried a serious infection risk and offered no real path back to normal mobility.

Bilateral lower-limb amputation in a child creates immediate functional loss, but the longer-term burden is broader. Balance, endurance, school attendance, social confidence, and play all become difficult. In an adult, prosthetic fitting is demanding; in a growing child, it is more complicated because sockets and alignment need ongoing review as the body changes. Zaher’s case also carried the added weight of trauma. He was shy, withdrawn, and deeply affected by what had happened to him and his city.

Cairo treatment combined surgery, prosthetics, and psychological support

Zaher eventually reached Cairo after an international effort raised £45,000 for his care. Leaving Sudan was not straightforward. He and his mother had no passports, and their birth certificates had been destroyed in the war. Once in Egypt, an apartment had been prepared for them with food in the fridge and medical appointments already arranged. That practical support mattered as much as the medical plan because it removed the daily pressure of simply trying to stay alive.

His treatment included further surgery, months of physiotherapy, training to use prosthetic legs, and psychological support. This sequence is standard in high-quality limb-loss care: surgery alone does not restore function, and prosthetics without rehabilitation tend to fail. The child must relearn weight bearing, stepping, and confidence in movement while also processing the loss itself. Dr Bintelmuna Eltayeb described him as shy, a little depressed, and hard to get smiling at first. Now he laughs, jokes, and moves with a confidence that was absent when he first arrived.

A new set of legs can change what the body can do. Rehabilitation changes what the mind believes is possible.

Footballs, new confidence, and the burden of growth

Zaher is now able to walk and kick a ball again. He has already learned how to use the prostheses with months of support from doctors and physiotherapists, and his physical recovery is visible in small but meaningful details: he stands taller, smiles more easily, and asks about new activities. He wants to ride horses, cycle, and become an airline pilot. Those ambitions matter clinically because they signal restored self-image after severe trauma, not just restored ambulation.

His mother says the family feels relieved watching him regain confidence, but she remains worried about his education and how he will be received if they continue rebuilding life in Sudan. They are now back in Khartoum, where the state of emergency has been lifted and the army is again in control, yet the city remains scarred by burned, blackened, and looted buildings. Security concerns persist, and large parts of the population face severe food insecurity. For a child with prosthetic limbs, access to follow-up care is not a minor detail. Socket fit, skin integrity, gait correction, and growth-related adjustments all depend on consistent clinical review.

Trauma care in war zones rarely ends at discharge

Zaher’s recovery also exposes the limits of care available inside active conflict. In settings like Khartoum, specialist rehabilitation is hard to access, and the infrastructure needed for pediatric prosthetics often collapses alongside hospitals, transport, and supply chains. His ability to walk again depended on an unusual convergence of factors: public attention, donor support, cross-border evacuation, and a clinical team able to provide surgery, rehabilitation, and psychological care over time. Many other children injured in Sudan do not have those options.

The wider public response helped make Zaher’s treatment possible, but it also created an uncomfortable contrast. One boy now has new legs, a new shirt, and a direct video message from Vinícius Júnior, who invited him to a Real Madrid match. Thousands of children with similar injuries remain without access to the most basic reconstructive care. In pediatric conflict medicine, that gap determines whether an injury becomes a temporary setback or a lifelong disability.

For Zaher, the next medical challenge may be less dramatic than the one that brought him to Cairo, but it is just as important: prosthetic adjustment as he grows. Without follow-up, a child fitted with prosthetic limbs can quickly lose comfort, alignment, and mobility. His future now depends on whether a war-ravaged health system can support that process, or whether this recovery remains an exception in a country where millions of children still wait for care.


Reporting by Dr. A. Nikhil Krishnan, MBBS for Medicine World Foundation, with additional data provided by BBC News — Dentistry.