FREEDOM INNOVATIONS EVOLUTION LINER WITH PIN
Jeff Zeller
Description
Collection
Title:
FREEDOM INNOVATIONS EVOLUTION LINER WITH PIN
Creator:
Jeff Zeller
Date:
8/22/2005
Text:
Good evening,
I have a patient who is a left below knee amputee. She is diabetic type 2., has 2 1/2 of redundant tissue distal to end of tibia. She has been a previous wearer of Alpha 6mm Uniform Locking Liner. Previous socket was made with 4 of distraction during casting by another practitioner. This caused reduced circulation, and purple contusions on distal end of limb. It did eliminate some of her pistoning action, made limb numb by the end of the day.
I suggested we go with something a little stiffer distally to not allow the elongation of tissue. I went with a custom made Freedom Innovations Silicone Evolution Liner with Locking Pin. I distracted 1/2 in 2nd check socket, no pistoning, no numbness, extra silicone over anterior distal tibia, and patella tendon bar. Walked in Check for one week. She LOVED IT! I fabricated definitive socket, she walked another week, worked great! She called today and had been standing for 10 hours today, it never really hurt.
But got home and took it off along with a thin layer of her skin on distal end and posterior of residual limb. Also rashy bumps up at proximal edge of liner on thigh. Some bloody fluid also in liner. I am not sure what made the difference? The Standing?
I talked to her about hygiene and cleaning. She is going to stay off of it for a day or two, then we might try some A & D ointment.
Anyone else have these issues? I like the idea of how they can customize the thickness of the silicone, I personally have had one made for myself and have been very happy with the comfort level. I just remember how the Iceross Silicone used to eat some peoples skin up. I hope this silicone is more skin friendly.
Please give me your ideas out there, I want the best outcome and comfort for this lady!
Sincerely,
Jeff A. Zeller, CP
Spectrum
Prosthetics & Orthotics Inc.
Redding, CA 96001
530.243.4500
530.243.4554fax
<Email Address Redacted>
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I have a patient who is a left below knee amputee. She is diabetic type 2., has 2 1/2 of redundant tissue distal to end of tibia. She has been a previous wearer of Alpha 6mm Uniform Locking Liner. Previous socket was made with 4 of distraction during casting by another practitioner. This caused reduced circulation, and purple contusions on distal end of limb. It did eliminate some of her pistoning action, made limb numb by the end of the day.
I suggested we go with something a little stiffer distally to not allow the elongation of tissue. I went with a custom made Freedom Innovations Silicone Evolution Liner with Locking Pin. I distracted 1/2 in 2nd check socket, no pistoning, no numbness, extra silicone over anterior distal tibia, and patella tendon bar. Walked in Check for one week. She LOVED IT! I fabricated definitive socket, she walked another week, worked great! She called today and had been standing for 10 hours today, it never really hurt.
But got home and took it off along with a thin layer of her skin on distal end and posterior of residual limb. Also rashy bumps up at proximal edge of liner on thigh. Some bloody fluid also in liner. I am not sure what made the difference? The Standing?
I talked to her about hygiene and cleaning. She is going to stay off of it for a day or two, then we might try some A & D ointment.
Anyone else have these issues? I like the idea of how they can customize the thickness of the silicone, I personally have had one made for myself and have been very happy with the comfort level. I just remember how the Iceross Silicone used to eat some peoples skin up. I hope this silicone is more skin friendly.
Please give me your ideas out there, I want the best outcome and comfort for this lady!
Sincerely,
Jeff A. Zeller, CP
Spectrum
Prosthetics & Orthotics Inc.
Redding, CA 96001
530.243.4500
530.243.4554fax
<Email Address Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Jeff Zeller, “FREEDOM INNOVATIONS EVOLUTION LINER WITH PIN,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/225255.
