Rigid Dressings
John T. Brinkmann, CPO
Description
Collection
Title:
Rigid Dressings
Creator:
John T. Brinkmann, CPO
Date:
11/4/1999
Text:
I'm not sure if I included this message in my posting of responses re:
rigid dressings.
John T. Brinkmann, CPO
My partner and I have been using removable rigid dressings (RRD's) and
IPOP
management in our practice for nearly five years. Unlike the typical
IPOP,
the RRD is a simple fiberglass cap made over the residual limb with
accomodations for boney prominences and shape anomolies. These
accomodations
are created by laying a filler of some sort under the cast sock to
create a
symmetrical shape and ease donning and doffing. The superior trim-line
is at
patellar tendon, and suspension is provided with flex net and a
supracondylar clip of some sort. There is no pylon or foot for
ambulation.
The surgeons and rehab doc's like this method for many of their
dysvascular
patients as examination of the wound is very easy. Furthermore, the RRD
provides protection and promotes excellent shaping of the limb. The
client/patient also learns the principles of sock management during this
non
weight-bearing period. Our protocol is generally 2 weeks in the RRD, or
until wound healing/shaping is adequate for preparatory management. I
have
had outstanding results with this method.
Appropriate candidates are chosen for more typical IPOP management
pre-operatively. Here, too, we have had very good success using current
industry methods if done well. However, if you or anyone else has poor
results (including the doc's cast tech), the negative implications are
20
fold. Choose your cases wisely if you can. A rehab team familiar with
immediate management is also very helpful in creating a successful
outcome.
This includes everyone from the doc to the PT to the nurses to the
aides. We
created a hospital protocol sheet 5 years ago that is still in place to
this
day. It goes into the hospital chart on admission. It simply gets
everyone
on the same page and leaves little room for guessing.
rigid dressings.
John T. Brinkmann, CPO
My partner and I have been using removable rigid dressings (RRD's) and
IPOP
management in our practice for nearly five years. Unlike the typical
IPOP,
the RRD is a simple fiberglass cap made over the residual limb with
accomodations for boney prominences and shape anomolies. These
accomodations
are created by laying a filler of some sort under the cast sock to
create a
symmetrical shape and ease donning and doffing. The superior trim-line
is at
patellar tendon, and suspension is provided with flex net and a
supracondylar clip of some sort. There is no pylon or foot for
ambulation.
The surgeons and rehab doc's like this method for many of their
dysvascular
patients as examination of the wound is very easy. Furthermore, the RRD
provides protection and promotes excellent shaping of the limb. The
client/patient also learns the principles of sock management during this
non
weight-bearing period. Our protocol is generally 2 weeks in the RRD, or
until wound healing/shaping is adequate for preparatory management. I
have
had outstanding results with this method.
Appropriate candidates are chosen for more typical IPOP management
pre-operatively. Here, too, we have had very good success using current
industry methods if done well. However, if you or anyone else has poor
results (including the doc's cast tech), the negative implications are
20
fold. Choose your cases wisely if you can. A rehab team familiar with
immediate management is also very helpful in creating a successful
outcome.
This includes everyone from the doc to the PT to the nurses to the
aides. We
created a hospital protocol sheet 5 years ago that is still in place to
this
day. It goes into the hospital chart on admission. It simply gets
everyone
on the same page and leaves little room for guessing.
Citation
John T. Brinkmann, CPO, “Rigid Dressings,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/212443.
