Responses to burning distal tibia
Rick Milen
Description
Collection
Title:
Responses to burning distal tibia
Creator:
Rick Milen
Date:
8/22/2006
Text:
Original post was too long to include. Jist- burning sensation at distal tibia after revision where infx'd tissue removed, invagination remains. Easy liner, sheath fit, expulsion valve/gel sleeve suspension, no signs of excessive pressure on the R.L. Burning reported in & out of prosthesis, worsens with perspiration.
RESPONSES were awesome...
Sounds like a medical problem that still needs to be addressed by the physician. Given the first revision and the surgical result can understand the physician being self protecting this second time.
*****************
I am having great outcomes with the Ertl Procedure primary and
revisional>>>>>>>>>>>>>>
It looks as if you have covered every prosthetic aspect...
What outer sleeve are you using?
What kind of seal do you have?
By chance do you have the diagnostic socket or mold this socket was fabricated from? You may be able monitor and/or register the expulsion rate and path in the diagnostic socket. It is a long shot, but if there is a seal or blockage in the socket it may cause discomfort. Just a thought.
****************
Try a custom molded silicone soft pad , just like a distal cup .I had
success with one of my patients, instead of plastazote one because of
the abrasion .
I wish you luck.
RESPONSES were awesome...
Sounds like a medical problem that still needs to be addressed by the physician. Given the first revision and the surgical result can understand the physician being self protecting this second time.
*****************
I am having great outcomes with the Ertl Procedure primary and
revisional>>>>>>>>>>>>>>
It looks as if you have covered every prosthetic aspect...
What outer sleeve are you using?
What kind of seal do you have?
By chance do you have the diagnostic socket or mold this socket was fabricated from? You may be able monitor and/or register the expulsion rate and path in the diagnostic socket. It is a long shot, but if there is a seal or blockage in the socket it may cause discomfort. Just a thought.
****************
Try a custom molded silicone soft pad , just like a distal cup .I had
success with one of my patients, instead of plastazote one because of
the abrasion .
I wish you luck.
Citation
Rick Milen, “Responses to burning distal tibia,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/227152.
