Responses 2: WD Custom Silicone Liner

Responses 2: WD Custom Silicone Liner

Janette Morris

9/24/2002

Thanks again to all who responded!


 On Fri, 13 Sep 2002 14:45:11 -0700 Janette Morris
wrote:

> I have a client with a recent wrist disarticulation
> amputation due to a traumatic injury. She is
> interested in a custom cosmetic restoration.
> Unfortunately, her distal end has significant scar
> tissue and is EXTREMELY sensitive. I would like a
> custom liner of soft silicone gel as a cushion layer
> between her residual limb and the prosthesis.
>
> The only manufacturer I have been able to find is
> Linea Orthopedics in Sweden. Does anyone know where
I
> can purchase a custom soft silicone liner in the
U.S.?
> Off the shelf liners & sheaths I have tried are too
> large, unavailable without distal attachments, or
too
> bulky. She would also prefer a cover color close to
> her natural skin tone-light negroid, with no writing
> on it.
>
> Any help is greatly appreciated.





 Do you think a TEC would work...soft durometer...Tan
Wearforce or
Lycra...

--------------------------------------------
We still make the original Fillauer 3-S liner for a
thinner liner.
Wayne Koniuk, CP , Siliconics, in San Francisco makes
a really soft
custom silicone liner as well.

Gerry Stark, CP, FAAOP
Director of Education & Technical Support
Fillauer, Inc.
--------------------------------------------

We can help with your wrist disarticulation client!



A custom liner can be made in any thickness you or
your client wishes - we recommend approx. 1.5mm for
upper extremity cases. It can be of any colour (we
make highly cosmetic fingers, partial hands, partial
feet prostheses and colour matching is something we
constantly do). If your client is happy with the
colours of the Otto Bock swatches we can make the
liner to the colour # she likes. The edge of the
liner can be feathered for a more cosmetic transition
between the liner and her residual limb.

Note: because this is a recent amputation, is
shrinkage of the residual limb a concern?



We can integrate a distal connection plate into the
liner and recommend the 14A1 lock set for upper
extremities.

Lycra can definitely be added to the specific area on
the liner that you wish, if this helps with donning of
the prosthesis. If it is just for cosmesis - we would
prefer to colour the actual silicone.



Gel pads can be integrated into the liner and can be
customized to her extremely sensitive distal end -
again these can be made to any size, colour or
thickness. The gel pads are only placed in areas
where needed, and as a result the entire liner does
not need to be thick (the advantage of a thin liner is
a very cosmetic looking prosthesis).



Note: We have made W/D liners with the Otto Bock
threaded stud embedded in the distal end of the
liner and a passive hand is attached directly to
this.



Hope this info. helps and if you need anything else
....literature, costs etc, just call (800)665-3327
ext.273.



Sincerely,



Sandra Ramdial, C.P. ( c )

Manager - Custom Silicone Services

Otto Bock Health Care

2897 Brighton Road

Oakville, ON L6H 6C9

Tel: 905-829-2080 ext. 273
--------------------------------------


APEAR BIOMETRIC REPLICATIONS INC.
1334 BERRYBROOK ROAD
ROSCOE, NY 12776
TEL: 607-363-2915*FAX:607-363-2977

                                        1-800-492-9993


Dear Janette Morris,

We make custom cosmetic restorations and have dealt
with similar situations. However, as you know there
are never any exact parallels. Our products have the
liner as an intrinsic part of the restoration. The
socket and liner can be made from a softer silicone
than the normal fill. If you are interested please
contact us for more info.

Best regards,
Thomas Ferrone
---------------------------------------

Don't do a device before she is done shrinking.
Living Skin (Aesthetic
concerns) in NY have a retty good cosmetic prodct and
could probably
fit
without a socket







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