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GOMA - They survived the bombs and bullets, but many lost an arm or a leg when M23 fighters seized the city of Goma in the eastern Democratic Republic of Congo nearly a year ago.
Lying on a rug, David Muhire arduously lifted his thigh as a carer in a white uniform placed weights on it to increase the effort and work the muscles.
The 25-year-old's leg was amputated at the knee -- he's one of the many whose bodies bear the scars of the Rwanda-backed M23's violent offensive.

Elise Nzuzi, an A1-level radiology technician, positions a patient on the X-ray table before reviewing the control image on the lightbox at the Shirika la Umoja centre in Goma

Patrick Ndagije, 13, from Bishushe in Rutshuru territory, was injured by a bullet in 2024

Technicians work on prosthetic devices intended for patients in the fitting workshop of the Shirika la Umoja centre, in Goma

A patient tests her new prosthesis, going up and down therapeutic stairs as a technician observes, at the Shirika la Umoja centre
"We will be receiving prosthetics and we hope to resume a normal life soon," Muhire, who is a patient at the centre, told AFP.
'Living with the war'
In a next-door room, other victims of the conflict, including children, pedalled bikes or passed around a ball.
Some limped on one foot, while others tried to get used to a new plastic leg.
"An amputation is never easy to accept," ortho-prosthetist Wivine Mukata said.
The centre was set up around 60 years ago by a Belgian Catholic association and has a workshop for producing prostheses, splints and braces.
Feet, hands, metal bars and pins -- entire limbs are reconstructed.
Plastic sheets are softened in an oven before being shaped and cooled. But too often the centre lacks the materials needed, as well as qualified technicians.
Each new flare-up in fighting sees patients pouring into the centre, according to Sylvain Syahana, its administrative official.
"We've been living with the war for a long time," he added.
Some 80 percent of the patients at the centre now undergo amputation due to bullet wounds, compared to half around 20 years ago, he said.
"This clearly shows that the longer the war goes on, the more victims there are," Syahana said.