Fw: C-leg statement correction
Anthony T. Barr
Description
Collection
Title:
Fw: C-leg statement correction
Creator:
Anthony T. Barr
Date:
1/12/2003
Text:
In a message dated 1/12/2003 1:54:01 AM Central Standard Time, to the Amputee Information Network Listserve, <Email Address Redacted> writes:
I can't walk more than 50 yds. without resting. My stump feels like the circulation has been blocked.
Al Pike said:
This would remain unchanged with a C-Leg. The feeling in your stump relates to socket fit not knee components.
Tony Barr said:
There is no prosthetic device currently on the market today or will ever be made, at any cost, that can cure the problems that are listed below. Unfortunately, amputees and some prosthetists often ignore the likely hood that lack of circulation, muscle instability and regeneration of nerve endings are most often the culprits preventing successful and long term prosthetic rehabilitation.Reconstruction surgery should be considered as a solution.
Before spending $50,000, amputees, Medicare and other healthcare providers should investigate the ability to receive proper amputation surgery before appoving funding alternate high end prosthetic devices and components.
The feeling described above of the circulation being blocked is more likely related to post operative conditions as the result of guillotine amputation which is the standard amputation procedure performed today.
1)The bone is simply transected, leaving an open medulary canal, and losing intermedulary pressure.The blood pressure flows out.
2) Muscle attachments are cut and allowed to retract no longer assisting in pumping blood or controlling the limb.
3) Often times veins & arteries are tied together to prevent bleeding, but an artery pumping right into a vein causes stress on the heart.
4) the bone may atrophy due to lack of loading.
5) The cut nerve ends will form neuromas if they are not placed in a scar-free, quiet environment and allowed to restore their gliding ability.
There is no prosthetic device currently on the market today, or will ever be available, that can cure the problems described above and as the result of improper amputation surgery
(# 1-5 taken from the script of the recently produced video:The Ertl Procedure: Beyond the Bridge)
Tony Barr
Barr Foundation
www.oandp.com/barr
Question for prosthetist professionals:
How many prosthetists discover and disclose to the patient upon thier intitial evaluation,, that the stump he has been left to work with, is less than perfect for delivering long term mobility and pain free prosthetic rehabilitation?
I can't walk more than 50 yds. without resting. My stump feels like the circulation has been blocked.
Al Pike said:
This would remain unchanged with a C-Leg. The feeling in your stump relates to socket fit not knee components.
Tony Barr said:
There is no prosthetic device currently on the market today or will ever be made, at any cost, that can cure the problems that are listed below. Unfortunately, amputees and some prosthetists often ignore the likely hood that lack of circulation, muscle instability and regeneration of nerve endings are most often the culprits preventing successful and long term prosthetic rehabilitation.Reconstruction surgery should be considered as a solution.
Before spending $50,000, amputees, Medicare and other healthcare providers should investigate the ability to receive proper amputation surgery before appoving funding alternate high end prosthetic devices and components.
The feeling described above of the circulation being blocked is more likely related to post operative conditions as the result of guillotine amputation which is the standard amputation procedure performed today.
1)The bone is simply transected, leaving an open medulary canal, and losing intermedulary pressure.The blood pressure flows out.
2) Muscle attachments are cut and allowed to retract no longer assisting in pumping blood or controlling the limb.
3) Often times veins & arteries are tied together to prevent bleeding, but an artery pumping right into a vein causes stress on the heart.
4) the bone may atrophy due to lack of loading.
5) The cut nerve ends will form neuromas if they are not placed in a scar-free, quiet environment and allowed to restore their gliding ability.
There is no prosthetic device currently on the market today, or will ever be available, that can cure the problems described above and as the result of improper amputation surgery
(# 1-5 taken from the script of the recently produced video:The Ertl Procedure: Beyond the Bridge)
Tony Barr
Barr Foundation
www.oandp.com/barr
Question for prosthetist professionals:
How many prosthetists discover and disclose to the patient upon thier intitial evaluation,, that the stump he has been left to work with, is less than perfect for delivering long term mobility and pain free prosthetic rehabilitation?
Citation
Anthony T. Barr, “Fw: C-leg statement correction,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/220356.
