BKA / gel liner problem

BKA / gel liner problem

Paul Rieth

2/14/2006

Listservers:

36 y/o male, 260 lbs, level 2, left mid-length BKA

History: Patient initially did well with 6mm Alpha with pin. Atrophy
ensued, leaving pronounced demarcation of the lateral and lateral/distal
 borders of tibia. Scar tissue and adhesions present on anterior/distal
and anterior/distal/lateral tibia. No invaginations. A cut in the
liner resulted at the level of the anterior/distal/lateral and lateral
tibial borders. I attributed it to a poorly fitting socket. He was
re-casted for a 2nd socket, this time using a 6mm Cushion Dermoliner.
(Patient wanted to get away from the tackiness of the Alpha, stating
it irritated the scar tissue and his thigh.) Check socket revealed
total contact. A new socket was made. One week later, a cut in the
liner in the same locations.

Any ideas? I'd like to keep patient in some sort of gel interface due
to the scar tissue and adhesions, but I will try about anything.

Responses will be posted without names.

Thanks in advance.

Paul Rieth, CPO