transtibial amputee
Skewes, Ed
Description
Collection
Title:
transtibial amputee
Creator:
Skewes, Ed
Date:
11/15/2005
Text:
Good afternoon,
Appreciate your comments on a very active 9 y.o. female, Dx streeters dysplasia
Unilateral transtibial amputee, very tapered and prominent tibia (but rounded) distal end of the residual limb
Knee circumference of 29.2 cm (11 ½ inches) MTP to distal end 11 cm (4 3/8 inches)
Using conventional PTBSC prosthesis with Bock lite liner (distal liner is perforated), Royal knit Soft Socks and 1K10 foot
Distal end pads vary from custom made to lambs wool. (currently changing out lambs wool daily)
Patient periodically has rash on the distal aspect of the residual limb at the level of the distal end pad.
Sometimes the rash appears in 1 cm circular patterns (not ring worm) and other times it is a reddish circumferential ring around the entire distal end.
Parents using lotion on residual limb at night, but sometimes skin gets small cracks (because it dries out overnight - making it uncomfortable to don in the morning)
Have ordered silicone distal end pads to replace lambs wool, and Otto bock derma skin care and socket cleaning products, etc.
Any other suggestions?
Think a custom liner would solve the skin problems or aggravate it further?
Also considering Rx for drysol to reduce perspiration which is sometimes excessive.
Thank you,
Ed Skewes
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients. If you are not the intended recipient, (or authorized to receive for the recipient) you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please destroy all copies of this communication and any attachments and contact the sender by reply e-mail or telephone (813) 281-0300.
Appreciate your comments on a very active 9 y.o. female, Dx streeters dysplasia
Unilateral transtibial amputee, very tapered and prominent tibia (but rounded) distal end of the residual limb
Knee circumference of 29.2 cm (11 ½ inches) MTP to distal end 11 cm (4 3/8 inches)
Using conventional PTBSC prosthesis with Bock lite liner (distal liner is perforated), Royal knit Soft Socks and 1K10 foot
Distal end pads vary from custom made to lambs wool. (currently changing out lambs wool daily)
Patient periodically has rash on the distal aspect of the residual limb at the level of the distal end pad.
Sometimes the rash appears in 1 cm circular patterns (not ring worm) and other times it is a reddish circumferential ring around the entire distal end.
Parents using lotion on residual limb at night, but sometimes skin gets small cracks (because it dries out overnight - making it uncomfortable to don in the morning)
Have ordered silicone distal end pads to replace lambs wool, and Otto bock derma skin care and socket cleaning products, etc.
Any other suggestions?
Think a custom liner would solve the skin problems or aggravate it further?
Also considering Rx for drysol to reduce perspiration which is sometimes excessive.
Thank you,
Ed Skewes
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients. If you are not the intended recipient, (or authorized to receive for the recipient) you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please destroy all copies of this communication and any attachments and contact the sender by reply e-mail or telephone (813) 281-0300.
Citation
Skewes, Ed, “transtibial amputee,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/225773.
