Re: VASS Results
Justin Foster
Description
Collection
Title:
Re: VASS Results
Creator:
Justin Foster
Date:
10/31/2002
Text:
I do not think fluid volume fluctuation is at all specific to amputees,
rather a normal biological phenomenon which becomes especially problematic
when the goal is to containin soft tissues (e.g. in a prosthetic socket) The
disruption of fluid moving mechanisms (veinous return, lymphatics, etc...)
via amputation surgeries can only exacerbate this normal condition to a
degree, if there is nowhere in a socket for the fluid to go, will it not
just move elsewhere??? I guess I am offering that, I do not believe we can
arrest the process of volume fluctuation, and as such should focus on better
management of this natural, necessary evil... Right now, the best we are
able to do is add or remove socks! I have no experience with the VASS
device, but I must applaud it as a different approach to a vexing issue.
Justin Foster
Prosthetic Resident
CIRS - Palo Alto
>From: Jan Stokosa < <Email Address Redacted> >
>Reply-To: Jan Stokosa < <Email Address Redacted> >
>To: <Email Address Redacted>
>Subject: Re: [OANDP-L] VASS Results
>Date: Wed, 30 Oct 2002 23:15:20 -0500
>
>After reading the responses to this question, I am should like to offer
>these comments for our consideration on this issue:
> I suggest we look at, and pursue a greater understanding of, the cause
>of Residual-Limb volume changes an amputee experiences. In our
>responsibility to provide and maintain a comfortable, stable
>socket/prosthesis, we have been reacting to this phenomenon in many
>clinical
>ways. I don't recall any discussion that addresses this condition, other
>than it is a normal consequence of amputation, and ways in which we could
>accommodate the changes.
> My experience over the past 30 years indicates fluid volume
>fluctuation
>is, for the most part, a function of amputation surgical technique (In this
>discussion, I exclude cases that involve systemic conditions that
>predispose
>a person to such fluctuations).
> When amputation must be done, if a biological/physiological surgical
>approach is followed (irrespective of cause), coupled with a socket design
>that optimizes the functional characteristics of the Residual-Limb, we find
>muscle and subcutaneous tissue much less affected by the trauma experienced
>following conventional amputation technique, and conventional prosthesis
>socket design.
> I would like to know others experience with this theory - that volume
>fluctuation is due, in-part, to non-functioning muscle and other
>unbiological results of amputation technique ( for purposes of this
>discussion, I suggest we exclude conditions that, irrespective of surgical
>technique would cause volume fluctuations - such as chemotherapy, dialysis,
>etc)
_________________________________________________________________
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<URL Redacted>
rather a normal biological phenomenon which becomes especially problematic
when the goal is to containin soft tissues (e.g. in a prosthetic socket) The
disruption of fluid moving mechanisms (veinous return, lymphatics, etc...)
via amputation surgeries can only exacerbate this normal condition to a
degree, if there is nowhere in a socket for the fluid to go, will it not
just move elsewhere??? I guess I am offering that, I do not believe we can
arrest the process of volume fluctuation, and as such should focus on better
management of this natural, necessary evil... Right now, the best we are
able to do is add or remove socks! I have no experience with the VASS
device, but I must applaud it as a different approach to a vexing issue.
Justin Foster
Prosthetic Resident
CIRS - Palo Alto
>From: Jan Stokosa < <Email Address Redacted> >
>Reply-To: Jan Stokosa < <Email Address Redacted> >
>To: <Email Address Redacted>
>Subject: Re: [OANDP-L] VASS Results
>Date: Wed, 30 Oct 2002 23:15:20 -0500
>
>After reading the responses to this question, I am should like to offer
>these comments for our consideration on this issue:
> I suggest we look at, and pursue a greater understanding of, the cause
>of Residual-Limb volume changes an amputee experiences. In our
>responsibility to provide and maintain a comfortable, stable
>socket/prosthesis, we have been reacting to this phenomenon in many
>clinical
>ways. I don't recall any discussion that addresses this condition, other
>than it is a normal consequence of amputation, and ways in which we could
>accommodate the changes.
> My experience over the past 30 years indicates fluid volume
>fluctuation
>is, for the most part, a function of amputation surgical technique (In this
>discussion, I exclude cases that involve systemic conditions that
>predispose
>a person to such fluctuations).
> When amputation must be done, if a biological/physiological surgical
>approach is followed (irrespective of cause), coupled with a socket design
>that optimizes the functional characteristics of the Residual-Limb, we find
>muscle and subcutaneous tissue much less affected by the trauma experienced
>following conventional amputation technique, and conventional prosthesis
>socket design.
> I would like to know others experience with this theory - that volume
>fluctuation is due, in-part, to non-functioning muscle and other
>unbiological results of amputation technique ( for purposes of this
>discussion, I suggest we exclude conditions that, irrespective of surgical
>technique would cause volume fluctuations - such as chemotherapy, dialysis,
>etc)
_________________________________________________________________
Unlimited Internet access -- and 2 months free! Try MSN.
<URL Redacted>
Citation
Justin Foster, “Re: VASS Results,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/219931.
