problem patella
Joan K. Cestaro
Description
Collection
Title:
problem patella
Creator:
Joan K. Cestaro
Date:
7/30/2002
Text:
I am seeking advice on an unusual situation. I have a female BK
patient, 80 years old and about 100 pounds. She is 18 months post-op
due to a huge ulcer that occurred over her patella. The ulcer is now
healed but has left adherent skin over most of the patella. There is
about a 1 (2-3 cm) diameter circular area of adherent skin. And at 80
years old, her skin is very fragile anyway. Otherwise, she presents as
a good prosthetic candidate with a K2 potential.
I suspect a gel suction liner would cause added stress directly over the
patella. She is too short to consider cutting it below the patella.
Even the pre-bent ones would likely break down the skin as I imagine she
would be sitting most of the time. A neoprene sleeve would also create
pressure here. I am inclined to use a cuff suspension to completely
avoid pressure. Other suggestions are welcomed.
I am also seeking suggestions for fabrication. I have considered a
large plastazote pad inside the socket to pad the patella. I also plan
to use a flex inner / rigid frame design and cutting the rigid outer
down to the MPT bar area, leaving only thin, flexible plastic over the
patella. Any and all fabrication suggestions are welcomed. Thank you
all in advance.
Namaste.
Joan K. Cestaro, C.P.
RPI- Virginia
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patient, 80 years old and about 100 pounds. She is 18 months post-op
due to a huge ulcer that occurred over her patella. The ulcer is now
healed but has left adherent skin over most of the patella. There is
about a 1 (2-3 cm) diameter circular area of adherent skin. And at 80
years old, her skin is very fragile anyway. Otherwise, she presents as
a good prosthetic candidate with a K2 potential.
I suspect a gel suction liner would cause added stress directly over the
patella. She is too short to consider cutting it below the patella.
Even the pre-bent ones would likely break down the skin as I imagine she
would be sitting most of the time. A neoprene sleeve would also create
pressure here. I am inclined to use a cuff suspension to completely
avoid pressure. Other suggestions are welcomed.
I am also seeking suggestions for fabrication. I have considered a
large plastazote pad inside the socket to pad the patella. I also plan
to use a flex inner / rigid frame design and cutting the rigid outer
down to the MPT bar area, leaving only thin, flexible plastic over the
patella. Any and all fabrication suggestions are welcomed. Thank you
all in advance.
Namaste.
Joan K. Cestaro, C.P.
RPI- Virginia
********************
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
Joan K. Cestaro, “problem patella,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 7, 2024, https://library.drfop.org/items/show/219328.
