Transfemoral socket design and fitting.
Description
Collection
Title:
Transfemoral socket design and fitting.
Text:
Having just returned from the ACA meeting and discussions and observations of transfemoral prostheses
I would like to propose a panel or committee is formed within one of the professional organizations to review current practices in the design and fitting of transfemoral sockets based upon the post- amputation anatomical model. When a version of the transfemoral socket was called a CAT/CAM socket by John Sabolich there was a review by the prosthetics community and from this the term Ischial Containment socket was coined. Since then the socket has gone through numerous name changes and different individuals have devised their own versions of the ischial containment transfemoral socket.
In part the purpose of this panel would be to also suggest elimination or replacement of L5649 in the United States which now can add as much as $1,942 to the Medicare allowable for transfemoral prostheses. This additional reimbursement could be seen as an enticement to fit amputees with ischial containment sockets over traditional sockets that might better serve the amputee’s needs. There also appears to be no consensus on what shape constitutes an ischial containment socket today. With the advent of the measurement based (CAD/CAM) transfemoral test socket a cost-effective tool is available to better investigate design and fit.
This panel or committee would be remise if it did not include some the following prosthetists associated with of the early work of ischial containment sockets. Kevin Carroll, Bill Copeland, Ed Gormanson, Tom Guth, Chris Hoyt, John Sabolich Scott Sabolich, Norm Shamp, Tim Staats, and others.
As a profession I feel it is our responsibly to periodically review certain procedures and techniques to assure that we are working in the best interest of the amputees we are dedicated to serve.
Respectively requested.
Al Pike, CP
I would like to propose a panel or committee is formed within one of the professional organizations to review current practices in the design and fitting of transfemoral sockets based upon the post- amputation anatomical model. When a version of the transfemoral socket was called a CAT/CAM socket by John Sabolich there was a review by the prosthetics community and from this the term Ischial Containment socket was coined. Since then the socket has gone through numerous name changes and different individuals have devised their own versions of the ischial containment transfemoral socket.
In part the purpose of this panel would be to also suggest elimination or replacement of L5649 in the United States which now can add as much as $1,942 to the Medicare allowable for transfemoral prostheses. This additional reimbursement could be seen as an enticement to fit amputees with ischial containment sockets over traditional sockets that might better serve the amputee’s needs. There also appears to be no consensus on what shape constitutes an ischial containment socket today. With the advent of the measurement based (CAD/CAM) transfemoral test socket a cost-effective tool is available to better investigate design and fit.
This panel or committee would be remise if it did not include some the following prosthetists associated with of the early work of ischial containment sockets. Kevin Carroll, Bill Copeland, Ed Gormanson, Tom Guth, Chris Hoyt, John Sabolich Scott Sabolich, Norm Shamp, Tim Staats, and others.
As a profession I feel it is our responsibly to periodically review certain procedures and techniques to assure that we are working in the best interest of the amputees we are dedicated to serve.
Respectively requested.
Al Pike, CP
Citation
“Transfemoral socket design and fitting.,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/216832.
