Flexible sockets on AK temps.
Chet X Burdette
Description
Collection
Title:
Flexible sockets on AK temps.
Creator:
Chet X Burdette
Date:
2/28/2001
Text:
In the area where I practice we often start out new transfemoral
amputees on temporary prostheses with suction suspension and flexible
sockets. The theory being that the flexible socket will optimize comfort
and the suction fit will optimize proprioception and overall function of
the prosthesis. The tight suction fit will allow the patient to use the
prosthesis for a longer period of time before it becomes too large to
properly manage the fit with socks.
In a matter of weeks the patient almost always shrinks down to a point
that the prosthesis will no longer suspend by total suction alone. It is
at this point we start using a sock fit, until the patients' limb volume
stabilizes or the fit degrades (due to changes in the limb) to a point
justifying prescription of the definitive prosthesis . The problem is,
the flexible socket material we use (proflex w/silicon) is not slick
enough to allow the patient to easily slide in with a sock on. Materials
like Proflex and Bioelastic create too much friction with the fabric of
the sock and you start having problems like adductor rolls, etc.
Is there any flexible socket material that works better with socks?
(Other than polyethelene which I despise) Any suggestions are
appreciated. I'd be interested in hearing how other practitioners start
off a new transfemoral amputees that have yet to achieve a stable limb
volume despite shrinker wear etc.
Chet Burdette CPO
Mountain State Prosthetics LLC.
Charleston, WV
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amputees on temporary prostheses with suction suspension and flexible
sockets. The theory being that the flexible socket will optimize comfort
and the suction fit will optimize proprioception and overall function of
the prosthesis. The tight suction fit will allow the patient to use the
prosthesis for a longer period of time before it becomes too large to
properly manage the fit with socks.
In a matter of weeks the patient almost always shrinks down to a point
that the prosthesis will no longer suspend by total suction alone. It is
at this point we start using a sock fit, until the patients' limb volume
stabilizes or the fit degrades (due to changes in the limb) to a point
justifying prescription of the definitive prosthesis . The problem is,
the flexible socket material we use (proflex w/silicon) is not slick
enough to allow the patient to easily slide in with a sock on. Materials
like Proflex and Bioelastic create too much friction with the fabric of
the sock and you start having problems like adductor rolls, etc.
Is there any flexible socket material that works better with socks?
(Other than polyethelene which I despise) Any suggestions are
appreciated. I'd be interested in hearing how other practitioners start
off a new transfemoral amputees that have yet to achieve a stable limb
volume despite shrinker wear etc.
Chet Burdette CPO
Mountain State Prosthetics LLC.
Charleston, WV
________________________________________________________________
GET INTERNET ACCESS FROM JUNO!
Juno offers FREE or PREMIUM Internet access for less!
Join Juno today! For your FREE software, visit:
<URL Redacted>.
Citation
Chet X Burdette, “Flexible sockets on AK temps.,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 20, 2024, https://library.drfop.org/items/show/216086.
