Responses- bilat AK exo 2 endo
Joan Cestaro, CP
Description
Collection
Title:
Responses- bilat AK exo 2 endo
Creator:
Joan Cestaro, CP
Date:
1/28/2001
Text:
I received very little response on this one, but it was a tough case indeed. I have summarized my respnses. Original post (unable to paste using this new e-mail account!) was for advice, mainly on the knee, for an active, congital bilat AK lady (and unilateral BE) who will be going from exo S/A knees to an endo design. Currently wearing prostheses with distal 1/2 of residuum only into the sockets. She wears one cast sock and somehow holds these babies on with suction with no aid from belts, valves, anything. ???
Thanks to the very few of you who responded. It was (IS) a tough case. A few suggested the C-leg from Otto Bock. This is a lady who lives in a fairly rural area, about 40 minutes from our office. She is currently in a totally maintenance free design and has had limited repairs or problems for the last 9 years. This is simply not an option- even if funding were available. That's like going from Alaska to Hawaii. This is just not the patient for that type of technology. Thank you, though, for the suggestions.
Suggestions were also very prevalent for a 3S liner suspension. I think some failed to pick up on the fact that she is a unilateral BE. Also, she utilizes a hook. Just don't see that happening. If not for the BE, that is a good suggestion, though. Have used this method very successfully myself.
Most of the responses suggested utilitizing a polycentric knee (be it with or without hydraulics). Since the Bock EBS was my first initial thought, I might still consider this. I am not familiar with DAW knees, but this was also suggested for ease of bending. I like the inherent stability of polycentric. The ones I've used in the past almost all ended up being used as peg legs because my patients (even after PT gait training) were never able to really get them to bend. So, they walked stiff legged. I obviously made bad choices with my manufacturer choices. I also like the fact that polycentric knees actually shorten at toe off. This should be a nice advantage given this case.
I will definitely use only knees that the manufacturers will allow me to return. I'll let my patient try a few and make her own decision. I think she will know instantly what she likes. And, yes, she can likely easily adapt to anything.
Thanks again to those who responded.
Joan Cestaro, CP<br clear=all><hr>Get your FREE download of MSN Explorer at <a href= <URL Redacted>> <URL Redacted></a><br></p>
Thanks to the very few of you who responded. It was (IS) a tough case. A few suggested the C-leg from Otto Bock. This is a lady who lives in a fairly rural area, about 40 minutes from our office. She is currently in a totally maintenance free design and has had limited repairs or problems for the last 9 years. This is simply not an option- even if funding were available. That's like going from Alaska to Hawaii. This is just not the patient for that type of technology. Thank you, though, for the suggestions.
Suggestions were also very prevalent for a 3S liner suspension. I think some failed to pick up on the fact that she is a unilateral BE. Also, she utilizes a hook. Just don't see that happening. If not for the BE, that is a good suggestion, though. Have used this method very successfully myself.
Most of the responses suggested utilitizing a polycentric knee (be it with or without hydraulics). Since the Bock EBS was my first initial thought, I might still consider this. I am not familiar with DAW knees, but this was also suggested for ease of bending. I like the inherent stability of polycentric. The ones I've used in the past almost all ended up being used as peg legs because my patients (even after PT gait training) were never able to really get them to bend. So, they walked stiff legged. I obviously made bad choices with my manufacturer choices. I also like the fact that polycentric knees actually shorten at toe off. This should be a nice advantage given this case.
I will definitely use only knees that the manufacturers will allow me to return. I'll let my patient try a few and make her own decision. I think she will know instantly what she likes. And, yes, she can likely easily adapt to anything.
Thanks again to those who responded.
Joan Cestaro, CP<br clear=all><hr>Get your FREE download of MSN Explorer at <a href= <URL Redacted>> <URL Redacted></a><br></p>
Citation
Joan Cestaro, CP, “Responses- bilat AK exo 2 endo,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/215794.
