responce on
Asif
Description
Collection
Title:
responce on
Creator:
Asif
Date:
12/27/2001
Text:
Joaquin Oropeza
The inmediate post surgical prosthetics may be very good for you.
There are several techinics! The best one that I can suggest you Is one that
we used here in mexico during the 1995 earth quick. We made some meatl
frames, and we attached to this frame an air bag, As soon as the surgery of
the patient finished, we put to the patient the top of the frame with the
airbag. With this airbag you can leave all the curation material in the
stump and change it for clean the patient and them put the airbag again. on
the 24 hrs after the surgery we began to made the patient walk with the
extention that we put on the frame... It works perfect!
we control the edema, take care of possible infections,... Sorry its vewry
difficult for me to find the words in english, but if you are agree I can
send you some draws of the design. It is very easy to made, and also, when a
patient finish with it, you can fit it to another.
The must difficult part is bben able to made the air bag.
I hope This design can help yo
--------------------------------------------------------------------------------
There are two different protocols to follow after amputation surgery...
If at all possible, it is most desirable to fit the patient immediately post operative with a rigid non removable cast which a pylon/foot can be attached for early weight bearing and ambulation. This cast is padded to protect the surgical site and areas such as tibial crest and fibular head. It is usually wrapped as high as mid thigh and molded above the medial condyle to aid in suspension and proximal support. The cast is usually removed and reapplied after a week to 10 days or when it becomes loose. Materials used are one or two sterile stump socks, usually 5 ply, and a reticulated end pad. Fiberglass cast material is used for durability.
The second protocol involves using compression therapy of a shrinker or ace wrap post operatively then proceeding with a preparatory prosthesis 3-5 weeks post op or when the sutures are removed. I typically fit a thermoplastic socket over a soft liner (Pelite or Silicone) and a sleeve suspension. Use whatever foot is appropriate for the patient's needs, and an adjustable endo system.
I move on to the definitive prosthesis when the patient is wearing the prep all day and has no volume changes for 1 month.
I hope this is helpful to you!
Joel Kempfer CP FAAOP
--------------------------------------------------------------------------------
dear asif. there is an older method of fitting temp. prosthesis called a
boston prep. prosthesis. it involves orthotic k.a.f.o. joints attached to an
ankle block and sach foot. the socket is an adjustable leather as is the
thigh corset. the patient would use this prosthesis for 3 to 6 months. if you
would like more details let me know.
p.s. a lot of practitioners feel this technology has no place in todays
world. i would tend to disagree as it was used with great success in the
boston area for well over 50 years.
luke richards
--------------------------------------------------------------------------------
DEAR ASIF ALI:
POST OP PROSTHETIC CARE SHOULD START WITH A PLAN OF CARE INDIVIDUALIZED TO
EACH PATIENTS NEEDS. A RIGID DRESSING MADE OF TOTAL CONTACT PADDING AND
PLASTER OF PARIS IS A GOOD PLACE TO START. IF YOU ARE UNFAMILIAR WITH THIS
PROCEDURE, I WOULD BE HAPPY TO SEND DETAILED STEPS. ADVANTAGES OF USE ARE
GREAT IN TERMS OF POST OP REHAB. HOPE THIS HELPS. GOD BLESS YOU AND YOUR
WORK.
SINCERELY,
J.Andre Bonneville,MD,MS,CO
--------------------------------------------------------------------------------
You might be interested in a universal sized early fitting prosthesis by Aircast. Go to <URL Redacted>
We have had very good success in treating over 250 patients with this device.
Regards,
John Rheinstein, C.P.
--------------------------------------------------------------------------------
Check out www.1800flo-tech.com. These prostheses can be applied immediately
after amputation, in well monitored situations.
Bob Brown, Sr., CPO, FAAOP, Inventor, CEO/R&D, Owner
FLO-TECH O&P Systems, Inc.
The inmediate post surgical prosthetics may be very good for you.
There are several techinics! The best one that I can suggest you Is one that
we used here in mexico during the 1995 earth quick. We made some meatl
frames, and we attached to this frame an air bag, As soon as the surgery of
the patient finished, we put to the patient the top of the frame with the
airbag. With this airbag you can leave all the curation material in the
stump and change it for clean the patient and them put the airbag again. on
the 24 hrs after the surgery we began to made the patient walk with the
extention that we put on the frame... It works perfect!
we control the edema, take care of possible infections,... Sorry its vewry
difficult for me to find the words in english, but if you are agree I can
send you some draws of the design. It is very easy to made, and also, when a
patient finish with it, you can fit it to another.
The must difficult part is bben able to made the air bag.
I hope This design can help yo
--------------------------------------------------------------------------------
There are two different protocols to follow after amputation surgery...
If at all possible, it is most desirable to fit the patient immediately post operative with a rigid non removable cast which a pylon/foot can be attached for early weight bearing and ambulation. This cast is padded to protect the surgical site and areas such as tibial crest and fibular head. It is usually wrapped as high as mid thigh and molded above the medial condyle to aid in suspension and proximal support. The cast is usually removed and reapplied after a week to 10 days or when it becomes loose. Materials used are one or two sterile stump socks, usually 5 ply, and a reticulated end pad. Fiberglass cast material is used for durability.
The second protocol involves using compression therapy of a shrinker or ace wrap post operatively then proceeding with a preparatory prosthesis 3-5 weeks post op or when the sutures are removed. I typically fit a thermoplastic socket over a soft liner (Pelite or Silicone) and a sleeve suspension. Use whatever foot is appropriate for the patient's needs, and an adjustable endo system.
I move on to the definitive prosthesis when the patient is wearing the prep all day and has no volume changes for 1 month.
I hope this is helpful to you!
Joel Kempfer CP FAAOP
--------------------------------------------------------------------------------
dear asif. there is an older method of fitting temp. prosthesis called a
boston prep. prosthesis. it involves orthotic k.a.f.o. joints attached to an
ankle block and sach foot. the socket is an adjustable leather as is the
thigh corset. the patient would use this prosthesis for 3 to 6 months. if you
would like more details let me know.
p.s. a lot of practitioners feel this technology has no place in todays
world. i would tend to disagree as it was used with great success in the
boston area for well over 50 years.
luke richards
--------------------------------------------------------------------------------
DEAR ASIF ALI:
POST OP PROSTHETIC CARE SHOULD START WITH A PLAN OF CARE INDIVIDUALIZED TO
EACH PATIENTS NEEDS. A RIGID DRESSING MADE OF TOTAL CONTACT PADDING AND
PLASTER OF PARIS IS A GOOD PLACE TO START. IF YOU ARE UNFAMILIAR WITH THIS
PROCEDURE, I WOULD BE HAPPY TO SEND DETAILED STEPS. ADVANTAGES OF USE ARE
GREAT IN TERMS OF POST OP REHAB. HOPE THIS HELPS. GOD BLESS YOU AND YOUR
WORK.
SINCERELY,
J.Andre Bonneville,MD,MS,CO
--------------------------------------------------------------------------------
You might be interested in a universal sized early fitting prosthesis by Aircast. Go to <URL Redacted>
We have had very good success in treating over 250 patients with this device.
Regards,
John Rheinstein, C.P.
--------------------------------------------------------------------------------
Check out www.1800flo-tech.com. These prostheses can be applied immediately
after amputation, in well monitored situations.
Bob Brown, Sr., CPO, FAAOP, Inventor, CEO/R&D, Owner
FLO-TECH O&P Systems, Inc.
Citation
Asif, “responce on,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/217774.
