FW: [OANDP-L] Invaginated scar & silicone liners
Kurt Collier
Description
Collection
Title:
FW: [OANDP-L] Invaginated scar & silicone liners
Creator:
Kurt Collier
Date:
3/1/2005
Text:
-----Original Message-----
From: Kurt Collier [mailto:<Email Address Redacted>]
Sent: Tuesday, March 01, 2005 10:33 PM
To: 'OANDP-:@LISTS.UFL.EDU'
Subject: RE: [OANDP-L] Invaginated scar & silicone liners
Stephan
I recently posted a response to an individual looking to fit a
challenging limb with a custom liner. I have attached it for your
review.
One option to consider is the Evolution SP Liner. Invented by Stan
Patterson, CP, of Orlando, Florida, the Evolution SP Liner is durable,
comfortable and is fit as a custom cushion or pin liner. Stan, with more
than 14 years of patient care experience, noticed a void in the liner
market, and wanted a custom liner with the flow characteristics of
urethane and the durability of silicone to provide the optimal interface
for his patients. Made of a platinum-cured silicone, the Evolution SP
Liner is custom made from a mold of each patient's residual limb. This
custom liner assures that the patient is receiving a socket interface
that is anatomically shaped to fit each patient's limb and provides
uniformly distributed forces to the tissues. The liner can also be
created with an external shape that is customized as well, such as
needed for stove pipe designed symes or KD sockets. Additionally, the
clinician will feel confident that he/she has provided the patient with
a skin interface that is biocompatible, durable and will remain
virtually odor free.
What I did not state in this response is that the inside of the liner
can accommodate for invaginated scars as well. However, in your
situation it may be challenging to capture the invagination. Typically
it is best to utilize an algination of the residual limb. However, due
to the amputation level this may be challenging but not necessarily
impossible. Once you do have the alginate impression pour it with
plaster and let it set. Once the plaster has set pull a check socket
over top of the plaster model and bi-valve the check socket to
facilitate removal. Mark on the check socket where you would like to
see your liner's trim lines and send the check socket to Evolution Liner
in Orlando for fabrication. (by mailing a check socket and not the
plaster impression you will save shipping costs.) If you have any
further questions of need clarification please feel free to contact me.
Additionally, the silicone putty you referenced is made by Fillauer.
Kurt Collier, CP
Freedom Innovations
301.695.1113
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Stephan Manucharian
Sent: Tuesday, March 01, 2005 12:20 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Invaginated scar & silicone liners
Dear List,
I am in the process of fitting a very short transfemoral amputee, who
has an invaginated scar positioned vertically from the distal end to
almost ASIS. I would like to utilize a silicone liner, however
attempts with several designs failed due to seepage of air through the
scar area and loss of suspension. I believe there was a special gel on
the market that one would apply (like putty) into the invaginated scar
and then don the liner. Has any one tried this product? What are the
results? Who distributes it? Any other ideas like custom liners? I
don't think they will work for AK-s as the tissues get compressed
within a liner and shape of the scar changes. I will appreciate your
input.
Sincerely,
Stephan
--
The content of this communication is for exclusive use of the
addressee and may contain confidential, privileged and non-disclosable
information. If the recipient of this communication is not the
addressee, such recipient is strictly prohibited from printing,
photocopying, saving on any media, distributing or otherwise using the
information contained herein. If you received this communication in
error, please contact the sender by e-mail, fax or telephone and
destroy this document.
Stephan R. Manucharian, CP
Orthopedic Arts
Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<Email Address Redacted>
From: Kurt Collier [mailto:<Email Address Redacted>]
Sent: Tuesday, March 01, 2005 10:33 PM
To: 'OANDP-:@LISTS.UFL.EDU'
Subject: RE: [OANDP-L] Invaginated scar & silicone liners
Stephan
I recently posted a response to an individual looking to fit a
challenging limb with a custom liner. I have attached it for your
review.
One option to consider is the Evolution SP Liner. Invented by Stan
Patterson, CP, of Orlando, Florida, the Evolution SP Liner is durable,
comfortable and is fit as a custom cushion or pin liner. Stan, with more
than 14 years of patient care experience, noticed a void in the liner
market, and wanted a custom liner with the flow characteristics of
urethane and the durability of silicone to provide the optimal interface
for his patients. Made of a platinum-cured silicone, the Evolution SP
Liner is custom made from a mold of each patient's residual limb. This
custom liner assures that the patient is receiving a socket interface
that is anatomically shaped to fit each patient's limb and provides
uniformly distributed forces to the tissues. The liner can also be
created with an external shape that is customized as well, such as
needed for stove pipe designed symes or KD sockets. Additionally, the
clinician will feel confident that he/she has provided the patient with
a skin interface that is biocompatible, durable and will remain
virtually odor free.
What I did not state in this response is that the inside of the liner
can accommodate for invaginated scars as well. However, in your
situation it may be challenging to capture the invagination. Typically
it is best to utilize an algination of the residual limb. However, due
to the amputation level this may be challenging but not necessarily
impossible. Once you do have the alginate impression pour it with
plaster and let it set. Once the plaster has set pull a check socket
over top of the plaster model and bi-valve the check socket to
facilitate removal. Mark on the check socket where you would like to
see your liner's trim lines and send the check socket to Evolution Liner
in Orlando for fabrication. (by mailing a check socket and not the
plaster impression you will save shipping costs.) If you have any
further questions of need clarification please feel free to contact me.
Additionally, the silicone putty you referenced is made by Fillauer.
Kurt Collier, CP
Freedom Innovations
301.695.1113
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Stephan Manucharian
Sent: Tuesday, March 01, 2005 12:20 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Invaginated scar & silicone liners
Dear List,
I am in the process of fitting a very short transfemoral amputee, who
has an invaginated scar positioned vertically from the distal end to
almost ASIS. I would like to utilize a silicone liner, however
attempts with several designs failed due to seepage of air through the
scar area and loss of suspension. I believe there was a special gel on
the market that one would apply (like putty) into the invaginated scar
and then don the liner. Has any one tried this product? What are the
results? Who distributes it? Any other ideas like custom liners? I
don't think they will work for AK-s as the tissues get compressed
within a liner and shape of the scar changes. I will appreciate your
input.
Sincerely,
Stephan
--
The content of this communication is for exclusive use of the
addressee and may contain confidential, privileged and non-disclosable
information. If the recipient of this communication is not the
addressee, such recipient is strictly prohibited from printing,
photocopying, saving on any media, distributing or otherwise using the
information contained herein. If you received this communication in
error, please contact the sender by e-mail, fax or telephone and
destroy this document.
Stephan R. Manucharian, CP
Orthopedic Arts
Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<Email Address Redacted>
Citation
Kurt Collier, “FW: [OANDP-L] Invaginated scar & silicone liners,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/224505.
