BE suspension sleeve responses

Reed Mueller

Description

Title:

BE suspension sleeve responses

Creator:

Reed Mueller

Date:

11/3/2008

Text:

Original question:
I am currently working with a below elbow amputee. I am fitting a suction socket and have questions pertaining to a proximal sealing suction sleeve. Just looking for product recommendations for this fitting application. What works best??

Thanks,
Reed Mueller CP
Fargo, ND
Responses
 
1.
Hi Reed Mueller,
Really Suction socket is the best in socket technology. But here you mentioned that bellow elbow but not mentioned stump condition
 i hope supra condylar will work. If it is bulbous,then suction is better option. Here total contact fitment of socket and little pressure on
supra condylar with suction will work properly. Again, if you are giving sleeve it will affect range of motion.
2.
While any sleeve will add bulk to the cubital fold and decrease range of motion I have had success with the Euro International 3s10 sleeve. I have also tried simple latex sleeves but they are less comfortable on the skin and not as flexible but they are thinner and more durable. I hope this helps.
3.Hi Reed,
 I have BE that I use an ossur sleeve. It is the only one that I found that
is tight enough for her. I think it called the balance. I have tried others
that have failed for one reason or another.
 
4. There are several models to from from latex designs to gel types. In the past I've used a 3mm Alpha cushion liner that I've cut in two so that I get two sleeves from one liner. If you choose a size that is the same circumference for the entire length, this application works best. It saves on cost and works well. Preflex the sleeve in relation to the socket and you shouldn't run into any elbow flexion restrictions. I hope this helps.
5.
I have had good luck with ALPS sleeves. They are durable and come in
small sizes.
6.n the experience of the practice I have been working for, we have used an ALPS suspension sleeve for a while now. The only issue we have had with these is if the patient bumps their socket against a desk, chair etc, the impact will cause a hole around the trimlines. You can use pelite, heat, formed and glued around the trimlines to absorb impact. The new otto bock Derma proflex sleeve is nice as well. We just recently started using this and patients seem to really like it also.
 
Hope this helps!



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Citation

Reed Mueller, “BE suspension sleeve responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/229786.