Vacuum knee disartic
Rick Stapleton
Description
Collection
Title:
Vacuum knee disartic
Creator:
Rick Stapleton
Date:
1/3/2018
Text:
Good morning list serve,
I have a seasoned knee disarticulation amputee who has been in a skin fit suction socket but I am now fabricating a vacuum system with custom Otto Bock Urethane liner due to a severely scarred distal end that does not tolerate full weight bearing in a skin fit socket. I am having issues with the proximal liner. How high or low do you trim you liners in relation to the perineum and proximal socket trim line? What about the problem with the muffin top bulge that keeps pushing down the liner and sealing sleeve (OB Harmony) down. The patient is comfortable in the socket but every now and then when the suspension sleeve rolls down and the proximal liner rolls down he looses the vacuum.
I am curious to hear about how high to take your liner, socket trim line, and how to keep the stuff from rolling down. My patient is not fat at all, use to be a competitive lifter so his thighs are large. Muffin top is the problem, what's the fix?
Thanks in advance,
Rick Stapleton, CPO
NOTE: The information in this email and any attachments may be confidential and/or medical privileged. Access to this email by anyone other than the intended addressee is unauthorized. If you are not the intended recipient (or the employee or agent responsible for delivering this information to the intended recipient), please notify the sender by reply email and immediately delete this email and any copies from your computer and/or electronic storage system. The sender does not authorize the use, distribution, disclosure or reproduction of this email (or any part of its contents) by anyone other than the intended recipient(s). No representation is made that this email and any attachments are free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
I have a seasoned knee disarticulation amputee who has been in a skin fit suction socket but I am now fabricating a vacuum system with custom Otto Bock Urethane liner due to a severely scarred distal end that does not tolerate full weight bearing in a skin fit socket. I am having issues with the proximal liner. How high or low do you trim you liners in relation to the perineum and proximal socket trim line? What about the problem with the muffin top bulge that keeps pushing down the liner and sealing sleeve (OB Harmony) down. The patient is comfortable in the socket but every now and then when the suspension sleeve rolls down and the proximal liner rolls down he looses the vacuum.
I am curious to hear about how high to take your liner, socket trim line, and how to keep the stuff from rolling down. My patient is not fat at all, use to be a competitive lifter so his thighs are large. Muffin top is the problem, what's the fix?
Thanks in advance,
Rick Stapleton, CPO
NOTE: The information in this email and any attachments may be confidential and/or medical privileged. Access to this email by anyone other than the intended addressee is unauthorized. If you are not the intended recipient (or the employee or agent responsible for delivering this information to the intended recipient), please notify the sender by reply email and immediately delete this email and any copies from your computer and/or electronic storage system. The sender does not authorize the use, distribution, disclosure or reproduction of this email (or any part of its contents) by anyone other than the intended recipient(s). No representation is made that this email and any attachments are free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
Citation
Rick Stapleton, “Vacuum knee disartic,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/208589.
