Very short transfem/shoulder disartic

Very short transfem/shoulder disartic

Eric Schwelke, C.P.O.

10/7/1999

To all:

We are evaluating a new referral w/ the following Hx:

36 yo female s/p traumatic (suicide attempt) Rt. Transfemoral and Rt.
Shoulder Disarticulation. We are only considering lower extremity now. We
have requested films to get a better idea of bone length, but it appears to
be only 1-2 inches. Almost entire aspect of residuum is grafted in a
patchquilt; very lumpy and firm but in good condition. Grafts go as high as
iliac crest. ROM is WNL, and muscle power is good all around. Physically,
there are no other problems. Referral is in a rehab setting, completely
independent, ambulates (hops) with a walker with center handle for 100'-150'
and is highly motivated at this point in time. We are leaning towards
treating as a hip dis, as we don't see how a transfemoral socket can be
functional.

Any ideas, suggestions, or comments on casting techniques, socket design,
and hip/knee components would be greatly appreciated. Replies will be
posted back on the server for all interested.

Thanks in advance,

Eric Schwelke, C.P.O.
<Email Address Redacted>