residual limb volume swing

Rick Milen

Description

Title:

residual limb volume swing

Creator:

Rick Milen

Date:

10/20/2006

Text:

Scenerio:
   
  5’ 10” ,160 lb, 66 y/o, K2, Male with L BKA 12/05
  Dialysis 3x/week: usual volume reduction of 3-5 lbs.
  Fit with Temp/prep 05/18/06: 5ply & a sheath fit
  Eval’d for definitive 08/31/06 after 2 weeks of steady sock plys: 13plys & sheath
  Dynamic test fitting 09/21/06 (pt delayed due to other factors/ non-health related)
  Test socket fit very well w/ 6mm easy liner and a sheath—expulsion valve/sleeve
  10/05/06 Definitive fit & delivery: same fit and comfort w/ easy liner & sheath
  10/12/06 Follow-up visit- pt No loner fitting in definitive.
  Circumferential measurements:
                          10/12/06……….inch level………….09/14/06
                          15 3/8” ____MPT 15”
                          14_3/4 1” 14_1/4
                          14_3/4- 2 14_1/4-
                          14_5/8- 3 14+
                          14_1/4 4 13_5/8
  Current body weight: 160-167 lbs
  Pt reports increase in fluid weight reduction at dialysis this week to 10 lbs Mon. Oct 16th and 8 lbs Wed.-- is wearing his temp with easy liner & sheath.
   
  Questions: Has anyone seen this much change in a short period of time? AND, what if his volume doesn’t return to that of definitive fitting? The def’ socket absolutely fit well upon receipt, he wore it for a week and he never had a volume swing like this during his temporary socket wear. (???)
   
  Your advise/comments would be greatly appreciated.
   
  Rick Milen, CPO, PTA

                          

Citation

Rick Milen, “residual limb volume swing,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227516.