Responses to Non-stretch Liners
Dale Beckham
Description
Collection
Title:
Responses to Non-stretch Liners
Creator:
Dale Beckham
Date:
7/9/2007
Text:
Thanks for all of the responses!
Dump the pin and embrace expulsion; no pistoning, regardless of liner type.
Frank Frankovitch, CPO, FAAOP
Try the Ossur Sport
Alan Hammer CPO FAAOP Hanger Prosthetics
The matrix in the Ossur liners have pretty good stability and prevent that
elongation that pt. is feeling.Christopher Phillips, CPO New England Brace
Co.
I have been having great success with the new Iceross liners with the Wave
ripples on the fabric. Excellent control of elongation, durable, and
incredibly comfortable over the knee during bending and sitting. Jeff
Boonstra CP
You may want to try a different suspension system. I suspect that you are
using a pin lock which suspends from the distal end, however you might take
a look at the KISS suspension system which transfers some of this pull to
the lateral side of the liner therefore reducing the distal pull of the pin.
I have used this system before and it works great.
Brian Pinkston C.P./L.P. Shriners Hospital St. Louis, Mo.
The Alpha Max would, but I have had a negative experience with the
reinforced sides bending into the hamstring tendons. I like the spirit
liner of all the alpha products. rf/cpo
I encountered a similar problem and the client would not consider adding an
elastic waist belt suspension. Instead I asked OWW to fabricate an Alpha Max
Locking liner with two vertical spectra strips (one running medial to
lateral, while the other ran anterior to posterior). The patient was pleased
with the result and OWW additional cost was not prohibitive.
Another option is to seal the shuttle lock and add an OWW suction seal liner
as auxiliary suspension. This arrangement would incorporate suction in the
suspension design, reducing the pistoning encountered between swing and
stance phase. Respectfully,
Robert H. Ward, C.P.O., L.P.O.
I would give Otto Bock a try.
Have recently switched over to a brand from MEDIUSA. It has virtually no
distal elongation and in particular, they have excellent above knee liners.
They do promote the fact that it does have silver and is suppose to reduce
phantom limb pain. I am not one to promote that, but that is one of their
selling points. The liners are more expensive than Alpha's but patients have
generally really liked them. I pretty much use a 3S system for AK's and
BK's.
Douglass J. Wacker, CPO, LPO
Dump the pin and embrace expulsion; no pistoning, regardless of liner type.
Frank Frankovitch, CPO, FAAOP
Try the Ossur Sport
Alan Hammer CPO FAAOP Hanger Prosthetics
The matrix in the Ossur liners have pretty good stability and prevent that
elongation that pt. is feeling.Christopher Phillips, CPO New England Brace
Co.
I have been having great success with the new Iceross liners with the Wave
ripples on the fabric. Excellent control of elongation, durable, and
incredibly comfortable over the knee during bending and sitting. Jeff
Boonstra CP
You may want to try a different suspension system. I suspect that you are
using a pin lock which suspends from the distal end, however you might take
a look at the KISS suspension system which transfers some of this pull to
the lateral side of the liner therefore reducing the distal pull of the pin.
I have used this system before and it works great.
Brian Pinkston C.P./L.P. Shriners Hospital St. Louis, Mo.
The Alpha Max would, but I have had a negative experience with the
reinforced sides bending into the hamstring tendons. I like the spirit
liner of all the alpha products. rf/cpo
I encountered a similar problem and the client would not consider adding an
elastic waist belt suspension. Instead I asked OWW to fabricate an Alpha Max
Locking liner with two vertical spectra strips (one running medial to
lateral, while the other ran anterior to posterior). The patient was pleased
with the result and OWW additional cost was not prohibitive.
Another option is to seal the shuttle lock and add an OWW suction seal liner
as auxiliary suspension. This arrangement would incorporate suction in the
suspension design, reducing the pistoning encountered between swing and
stance phase. Respectfully,
Robert H. Ward, C.P.O., L.P.O.
I would give Otto Bock a try.
Have recently switched over to a brand from MEDIUSA. It has virtually no
distal elongation and in particular, they have excellent above knee liners.
They do promote the fact that it does have silver and is suppose to reduce
phantom limb pain. I am not one to promote that, but that is one of their
selling points. The liners are more expensive than Alpha's but patients have
generally really liked them. I pretty much use a 3S system for AK's and
BK's.
Douglass J. Wacker, CPO, LPO
Citation
Dale Beckham, “Responses to Non-stretch Liners,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/228436.