Re: UL silicone liner
Jack Uellendahl,CPO
Description
Collection
Title:
Re: UL silicone liner
Creator:
Jack Uellendahl,CPO
Text:
Hello,
Yes, I have fit several 3S systems on Above-Elbow Amps. Based on what you
have said about the limitations of the sound side, I would be very cautious
about using a 3S because it would be very difficult to become independent in
donning. I assume that the donning problem is in getting the silicone liner
on the residuum and not getting the attachment pin to engage in the lock (
assuming you are using some type of shuttle lock). Of course I have been
amazed, from time to time, at how inventive some patients can be in learning
to don a prosthesis and if this man, along with your help, is able to find a
way to donn the liner, I would be very interested in seeing it.
If there is also a problem getting the pin fully into the lock I can recommend
2 things. One, cut a hole in the rigid socket to allow his fingers to pull
and guide the pin into position; and Two, use a clutch lock that allows him to
pull-in by turning the release button.
Good Luck,
Jack Uellendahl
Rehab Institute of Chicago
In a message dated 10/13/98 2:04:38 AM Central Daylight Time,
<Email Address Redacted> writes:
<< Does anyone out there have experience with using roll on silicone liners
for
UL prostheses?
I have a patient for whom this is working well, but he cannot don the liner
himself.
He has
left transhumeral deficiency
fleshy redundant tissue distally
and right arm damage
Poor/weak elbow flexion
no pronation of forearm
thumb adduction, but not opposition
good adducting pinch strength
He is a farmer who is intelligent and motivated.
>>
Yes, I have fit several 3S systems on Above-Elbow Amps. Based on what you
have said about the limitations of the sound side, I would be very cautious
about using a 3S because it would be very difficult to become independent in
donning. I assume that the donning problem is in getting the silicone liner
on the residuum and not getting the attachment pin to engage in the lock (
assuming you are using some type of shuttle lock). Of course I have been
amazed, from time to time, at how inventive some patients can be in learning
to don a prosthesis and if this man, along with your help, is able to find a
way to donn the liner, I would be very interested in seeing it.
If there is also a problem getting the pin fully into the lock I can recommend
2 things. One, cut a hole in the rigid socket to allow his fingers to pull
and guide the pin into position; and Two, use a clutch lock that allows him to
pull-in by turning the release button.
Good Luck,
Jack Uellendahl
Rehab Institute of Chicago
In a message dated 10/13/98 2:04:38 AM Central Daylight Time,
<Email Address Redacted> writes:
<< Does anyone out there have experience with using roll on silicone liners
for
UL prostheses?
I have a patient for whom this is working well, but he cannot don the liner
himself.
He has
left transhumeral deficiency
fleshy redundant tissue distally
and right arm damage
Poor/weak elbow flexion
no pronation of forearm
thumb adduction, but not opposition
good adducting pinch strength
He is a farmer who is intelligent and motivated.
>>
Citation
Jack Uellendahl,CPO, “Re: UL silicone liner,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/210938.
