Lisfranc management
Elisa de Jong
Description
Collection
Title:
Lisfranc management
Creator:
Elisa de Jong
Date:
7/2/2007
Text:
Requesting ideas for management. I have a 13yr old patient with what looks
like a LisFranc amputation. I'm not as familiar with prosthetics yet, so
correct me if I'm wrong. It appears as though his tarsal bones are still
there, but no metatarsal bones. He's had the amputation since 6yrs of age.
He was fit with an AFO/toe filler but never wore it due to stubbornness.
His Dr has finally convinced him that he needs some support if he wants to
avoid future problems. He has about 1/2 LLD He has good heel alignment
and dorsi/plantar range. He does have some callusing, however he says that
it does not bother him at this time. He would PREFER something low-profile,
however I believe he would be understand the benefits of a longer lever arm.
I've discussed various options with coworkers including a silicone foot,
AFO with toe filler, and more specifically an Arizona AFO with toe filler.
I was wondering if anyone might give their opinion to one of these options
OR provide another option. The patient is active in basketball, however
limited since he can't get toe-off from a stuffed shoe. Thanks!
Elisa
Resident Orthotist
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like a LisFranc amputation. I'm not as familiar with prosthetics yet, so
correct me if I'm wrong. It appears as though his tarsal bones are still
there, but no metatarsal bones. He's had the amputation since 6yrs of age.
He was fit with an AFO/toe filler but never wore it due to stubbornness.
His Dr has finally convinced him that he needs some support if he wants to
avoid future problems. He has about 1/2 LLD He has good heel alignment
and dorsi/plantar range. He does have some callusing, however he says that
it does not bother him at this time. He would PREFER something low-profile,
however I believe he would be understand the benefits of a longer lever arm.
I've discussed various options with coworkers including a silicone foot,
AFO with toe filler, and more specifically an Arizona AFO with toe filler.
I was wondering if anyone might give their opinion to one of these options
OR provide another option. The patient is active in basketball, however
limited since he can't get toe-off from a stuffed shoe. Thanks!
Elisa
Resident Orthotist
_________________________________________________________________
Get a preview of Live Earth, the hottest event this summer - only on MSN
<URL 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
Elisa de Jong, “Lisfranc management,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/228410.
