Responses: Knee Disarticulation Socket Design 1

Responses: Knee Disarticulation Socket Design 1

Ultrapedics/Eric Schwelke, C.P.O.

7/13/2001

On 7/2/01, I posted the following:

To all:
>
> We are working with a 42 yo female w/ ho Rt. KD 2nd to trauma almost 1
year
> ago. (Subway accident). Residuum is in excellent condition, well-healed
> clean suture line, well defined with no edema. Excellent end bearing
> possibilities. We are leaning toward using a gel cushion liner
> (specifically the new ALPS moldable cushion thermoliner). Two questions
for
> colleagues who have experience w/ KD’s: How practical have you found end
> bearing to be?? Further, along with end bearing, have you always used
> either IC or Quad brims?? No brim at all?? As for socket design for
> suspension, aside from the various doors and/or bivalved sockets, have you
> found other configurations successful utilizing flex inner sockets w/
> frames?? All responses will be posted to the server in a timely manner.
>
> Thanks in advance.
>Eric Schwelke, C.P.O.

Here are the comments and suggestions up to today, 7/3/01. The consensus
for brim style/type is no brim at all as long as it is a true end bearing
residuum. Some trim just distal to greater trochanter with others using
minimal heights. Some other interesting ideas for suspension include
* Air bladders just proximal to condyles
* Suction liners/valves

We haven’t decided the exact methods and design(s) to utilize, but to those
who volunteered information, thank you for sharing.

Responses will continue to be posted.

Responses: