responses: difficult patients U/E, central fabrication/practioners

responses: difficult patients U/E, central fabrication/practioners

Jake Wood, CP

Original question was :
To All:
I am interested in finding out from practitioners on who you would recommend
and/or may have experiences with (concerning difficult upper extremity
patients). Possibly to the extent when you need a one of a kind design. This may be a
central fabrication facility or a practitioner that you work with on
specialty cases.

My patient is a partial hand amputee with one remaining digit. I am
interested in pursuing a partial hand prosthesis with movable fingers. This may be of
the wrist driven type similar to Patrick Conroy designs (Patrick's current
duties do not allow him to work with me at this time).

All responses will be posted without names if desired.

Thank you for your time and assistance.


Responses: Thanks to all for helping! Jake



Carl Brenner, C.P.O. is very experienced and knowledgeable in this area -
248.615.0601

Try Jim Williams at Peaster and Williams Central Fab (800-288-5450). He
has specialized in upper extremity for about 20 years and he does great
work!

 think Mr. John Miguelez is the best choice.
I´sent you his link and home page.
I wish you luck.

You may want to give brett a call at Prosthetic Specialties in Milwaukee. He
has some good ideas and designs. If not, let me know and I could go over
some of the designs i have used in the past.


I recently saw a lady who had lost all her fingers and thumb, leaving her
with a palmar paddle.
I had my OT friend come and help me with a simple palmar side trough splint
direct formed from low temp plastic. I lined the palmar section on both
sides with neoprene, rubber side out for increased friction. This took
advantage of her range of motion and sensation. She has Medicaid insurance,
so there was not funding available for a cosmetic restoration. She was
thrilled to be able to grasp objects and hold a pen. I sent her to OT for UE
prosthetic training.









Jake R. Wood C.P., F.A.A.O.P.
Orthotics & Prosthetics Associates Inc.
10101 Innovation Dr., Suite 500
Milwaukee, WI 53226

414-257-2727
414-257-9898 (Fax)

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