Prosthetic Symes C-fab experiences

Prosthetic Symes C-fab experiences

Paul Prusakowski

11/29/2001

Hello again,

I am working with an individual with bilateral symes amputations. She
has extremely limited use of her hands, so she cannot utilize any sort
of windows or straps. She has been very successful with wearing
prostheses with hard sockets and a single thick sock. Suspension is a
combination of supramalleolar suspension, suction, and friction. The
sockets she has been wearing on her old prostheses have a section of
silicone lamination on the inside of the socket (not an expandable wall-
just a more tacky section of socket wall within the socket) to help
provide a higher level of grip once she pushes her residual limbs into
the prostheses. She has been very pleased with this system, and is
requesting that the pair that I am fabricating for her now includes this
feature. I would like to have a Central Fabrication facility perform
this lamination for me, and am wondering if any of you have had any
experience working with any C-Fab on a project like this. I don't want
this to be an experiment for some C-Fab, and would prefer to work with
someone who has successfully done these in the past.

Thanks for the feedback.

Paul E. Prusakowski, CPO
O&P Clinical Technologies
Gainesville, Florida