Fatigued PFFD
Luci Busch
Description
Collection
Title:
Fatigued PFFD
Creator:
Luci Busch
Date:
2/13/2008
Text:
I have a 47 year old PFFD of moderate activity. The foot was amputated when he was a child. He has utilized hydraulic unit components for the majority of his adult life. He is experiencing fatigue during gait. He was recently fit with a new prosthesis utilizing a ramus containment socket design and microprocessor knee control. This is the second prosthesis he has had utilizing the RC design socket. Prior to these he wore a quadrilateral socket. The socket fit is good and the knee function minimizes his energy expenditure. He began experiencing this problem approximately 3 months ago. He experiences fatigue with the previous hydraulic components as well as with the microprocessor prosthesis, although the fatigue is greater with the microprocessor. He was seen by a PT for strengthening and gait training.
He saw a physiatrist and was informed the issue of fatigue has to do with the musculature of the residual limb. The physiatrist compared the condition to that of a post polio syndrome patient stating the amputee has been using the muscles of the shin to ambulate as an AK for 47 years. This musculature was not designed for this particular use and is no longer able to keep up with his functional level. The physiatrist’s recommendation was to prosthetically lock the knee joint in the socket and to retrain the amputee to utilize the muscles of the hip for gait or to minimize the activities that contribute to the fatigue. The physiatrist went further to state that within a period of time this amputee would begin to have back pain associated with the PFFD.
Are there any Prosthetists that have long term experience fitting a PFFD Amputee and experienced similar problems? I would appreciate any input that would help my patient return to the activity level he is accustomed to. If you have found this scenario is common with this type of amputation let me hear from you.
Luci Busch, CP
Licensed Prosthetist
Sr. Director of Clinical Services
HYPERLINK blocked::mailto:<Email Address Redacted> <Email Address Redacted>
High quality lower extremity prosthetics with personalized, unparalleled patient care.
Dayton Artificial Limb, Inc.
7637 N. Main Street
Dayton, Ohio 45415
Voice 937.898.2200
888.827.0984
Fax 937.898.2234
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He saw a physiatrist and was informed the issue of fatigue has to do with the musculature of the residual limb. The physiatrist compared the condition to that of a post polio syndrome patient stating the amputee has been using the muscles of the shin to ambulate as an AK for 47 years. This musculature was not designed for this particular use and is no longer able to keep up with his functional level. The physiatrist’s recommendation was to prosthetically lock the knee joint in the socket and to retrain the amputee to utilize the muscles of the hip for gait or to minimize the activities that contribute to the fatigue. The physiatrist went further to state that within a period of time this amputee would begin to have back pain associated with the PFFD.
Are there any Prosthetists that have long term experience fitting a PFFD Amputee and experienced similar problems? I would appreciate any input that would help my patient return to the activity level he is accustomed to. If you have found this scenario is common with this type of amputation let me hear from you.
Luci Busch, CP
Licensed Prosthetist
Sr. Director of Clinical Services
HYPERLINK blocked::mailto:<Email Address Redacted> <Email Address Redacted>
High quality lower extremity prosthetics with personalized, unparalleled patient care.
Dayton Artificial Limb, Inc.
7637 N. Main Street
Dayton, Ohio 45415
Voice 937.898.2200
888.827.0984
Fax 937.898.2234
This email message and its attachments (if any) are intended solely for the use of the addressee(s) hereof. Access to this email by anyone else is unauthorized. In addition, this message and the attachments (if any) may contain information which is confidential, privileged and exempt from disclosure under applicable law. If you are not the intended recipient of this message, you are prohibited from reading, disclosing, reproducing, distributing, disseminating, or otherwise using this transmission. Delivery of this message to any person other than the intended recipient is not intended to waive any right or privilege. If you have received this message in error, please promptly notify the sender by reply email and immediately delete this message from your system.
No virus found in this outgoing message.
Checked by AVG.
Version: 7.5.516 / Virus Database: 269.20.4/1276 - Release Date: 2/13/2008 9:41 AM
Citation
Luci Busch, “Fatigued PFFD,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/229016.
