Re: Ischial Containment Casting Responses Part III
Robert Schiff
Description
Collection
Title:
Re: Ischial Containment Casting Responses Part III
Creator:
Robert Schiff
Text:
I have cast people using many different approaches over the years. I have
used Berkley brims, IPOS brims, casting stands, preshaped adjustable open
ended poly sockets (I think from orthoamerica), and electronic test sockets
from measurements without a cast even being taken, and of course hand
casting. ALL systems can produce a good socket if you take the time to
learn and understand the system you are using. Some systems rely on a good
capture of the bony anatomy, and some the volume of the limb. Depending on
what you want to achieve with the socket will determine which approach to
take. Whatever you do, DON'T just try something once and then determine
it's either good or bad.
-----------------
hi.why don't you post the summary for the list? Those are
common concerns.i usually order my ICs through otto
bock,that works&is economic.
----------------
It is possible since you put no credentials at the end of your name that no
one will respond. I did look you up in the registry and see no certification
# for you. Did your supervisor use credentials?
---------------
Robbie:
My comments would be in the direction of logic. If one is doing 2-3 check
sockets before creating an acceptable fit via hand casting then using
pre-set brims or measurements would be the way to go. For one thing you
don't subject the patient to the ordeal of casting only to end up doing 2-3
more fittings (too many fitting leaves a patient wonder if we know what
we're doing). Second, if you're going to do at least 1 check socket you will
have as close a fit using a socket created from measurements. Finally, I
prefer scanning the limb and creating a socket using an established computer
aided design (CAD) program. Very unusual to require more than 1 check socket
(but it does happen in some cases).
--------------
I hand cast all my Trans Femoral molds. I subscribe to the NU-RIC style. We
generally have 2 check socket fitings, sometimes 1. There was a learing
curve, I would say I felt confident and consistent after about 12-15
patients.
used Berkley brims, IPOS brims, casting stands, preshaped adjustable open
ended poly sockets (I think from orthoamerica), and electronic test sockets
from measurements without a cast even being taken, and of course hand
casting. ALL systems can produce a good socket if you take the time to
learn and understand the system you are using. Some systems rely on a good
capture of the bony anatomy, and some the volume of the limb. Depending on
what you want to achieve with the socket will determine which approach to
take. Whatever you do, DON'T just try something once and then determine
it's either good or bad.
-----------------
hi.why don't you post the summary for the list? Those are
common concerns.i usually order my ICs through otto
bock,that works&is economic.
----------------
It is possible since you put no credentials at the end of your name that no
one will respond. I did look you up in the registry and see no certification
# for you. Did your supervisor use credentials?
---------------
Robbie:
My comments would be in the direction of logic. If one is doing 2-3 check
sockets before creating an acceptable fit via hand casting then using
pre-set brims or measurements would be the way to go. For one thing you
don't subject the patient to the ordeal of casting only to end up doing 2-3
more fittings (too many fitting leaves a patient wonder if we know what
we're doing). Second, if you're going to do at least 1 check socket you will
have as close a fit using a socket created from measurements. Finally, I
prefer scanning the limb and creating a socket using an established computer
aided design (CAD) program. Very unusual to require more than 1 check socket
(but it does happen in some cases).
--------------
I hand cast all my Trans Femoral molds. I subscribe to the NU-RIC style. We
generally have 2 check socket fitings, sometimes 1. There was a learing
curve, I would say I felt confident and consistent after about 12-15
patients.
Citation
Robert Schiff, “Re: Ischial Containment Casting Responses Part III,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 8, 2024, https://library.drfop.org/items/show/218075.
