Case Study
Thomas Karolewski
Description
Collection
Title:
Case Study
Creator:
Thomas Karolewski
Date:
6/21/2002
Text:
Dear List,
I received a phone call from a former student who works in Minnesota.
He has a very unusual case that he needs help with. I told him I
would post it on the O and P listserve to see what ideas come up.
The patient is 5'6 tall and weigh's 215 lbs. The surgeon chose to
amputate the skeleton at the hip disarticulation level, but.......
decided for unknown reasons to leave 8 of muscle tissue below the
ischium. Its all muscle and at the present time is solid tissue.
There is no femur inside. So, from a distance the the appearance of
the residual limb would be that of a mid thigh transfemoral amputee,
but in reality is a hip disarticulation.
This is all the information I know. I have no reason why the surgeon
left 8 of redundant tissue.
Any ideas for socket design that address ambulating and sitting?
What kind of components could attach to the socket design?
According to the student, a revision is not an option.
Some ideas we were tossing around would be an open ended hip
disarticulation socket, but sitting would be a problem and how would
you connect the the hip joint anteriorly. How would the thigh pylon
not contact the skin? Another idea was to make a prosthosis. Fit a
axial resist HKAFO brim and somehow connect the side bars to a knee
joint. Once again sitting becomes an issue.
ANY ideas would be welcome.
Thanks,
Tom
--
Thomas Karolewski, C.P.,FAAOP
Assistant Director of Prosthetics Education
Northwestern University Prosthetics- Orthotics Center
1(312)238-1182
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should not be sent to the entire oandp-l list. Professional credentials
or affilliations should be used in all communications.
I received a phone call from a former student who works in Minnesota.
He has a very unusual case that he needs help with. I told him I
would post it on the O and P listserve to see what ideas come up.
The patient is 5'6 tall and weigh's 215 lbs. The surgeon chose to
amputate the skeleton at the hip disarticulation level, but.......
decided for unknown reasons to leave 8 of muscle tissue below the
ischium. Its all muscle and at the present time is solid tissue.
There is no femur inside. So, from a distance the the appearance of
the residual limb would be that of a mid thigh transfemoral amputee,
but in reality is a hip disarticulation.
This is all the information I know. I have no reason why the surgeon
left 8 of redundant tissue.
Any ideas for socket design that address ambulating and sitting?
What kind of components could attach to the socket design?
According to the student, a revision is not an option.
Some ideas we were tossing around would be an open ended hip
disarticulation socket, but sitting would be a problem and how would
you connect the the hip joint anteriorly. How would the thigh pylon
not contact the skin? Another idea was to make a prosthosis. Fit a
axial resist HKAFO brim and somehow connect the side bars to a knee
joint. Once again sitting becomes an issue.
ANY ideas would be welcome.
Thanks,
Tom
--
Thomas Karolewski, C.P.,FAAOP
Assistant Director of Prosthetics Education
Northwestern University Prosthetics- Orthotics Center
1(312)238-1182
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affilliations should be used in all communications.
Citation
Thomas Karolewski, “Case Study,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/219009.
