Quadrilateral Amputee Questions
Doug Wacker, CPO
Description
Collection
Title:
Quadrilateral Amputee Questions
Creator:
Doug Wacker, CPO
Date:
2/3/2009
Text:
Thank you ListServe in advance. I have a 36 year old patient who was referred to my office who is a bilateral below elbow amputee, extremely short, almost an elbow disarticulation with bilateral above knee amputations from a house explosion that burned over 95% of his body. He is well healed and has been using a wheelchair for mobility. His skin grafts are intact, those being from cadavers and pigs. He is very active by taking care of his mother by cooking for her, takes care and cleans the horses, yes, horses,?does carpentry work around the house and has taught his mother to do some also. He has two children that he takes care of because his wife left after the accident. She couldn't handle his burns any longer. I must add, he salt water fishes at South Padre and reeled in a 42 Bull Redfish out of the surf by himself with just his residual limbs. He pads his limbs so he can use them to walk around the house. He loves to BBQ and has asked if he can still cook. He also deer !
hunts.
His immediate needs are his hands to make it easier to cook and do the chores around his home and then his legs to get up and around. He has had Stubbies?for his legs and?tore them up in one year. He would like upper extremity prosthetics to feed himself better so wrist flexion's are definite. With his upper extremities being so short, would it be better to fit him as an above elbow with harnessing for the elbow lock and TD, maybe a bi-valve socket? Or would Step Up Hinges preflexed forearms to take care of himself be better utilized? Remember skin grafts.
On his lower extremities, he will have someone to help him if Silicone liners are used with a 4-bar knee and a locking knee on the other, if that is a possibility. He wants durability and no maintenance. Stubbies will give him better stability and maneuverability. Is that the only option?
I am hoping this will stimulate some expert responses. I will post them as they come in. Again, thank you.
Douglass J. Wacker, CPO, LPO
NUTECH Orthotics & Prosthetics, LLC
2422 E. Tyler Ave., Ste. A
Harlingen, TX. 78550
PH. 956-412-LEGS(5347)
FX. 956-412-3563
E-mail: <Email Address Redacted>
www.nutechoandp.net
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hunts.
His immediate needs are his hands to make it easier to cook and do the chores around his home and then his legs to get up and around. He has had Stubbies?for his legs and?tore them up in one year. He would like upper extremity prosthetics to feed himself better so wrist flexion's are definite. With his upper extremities being so short, would it be better to fit him as an above elbow with harnessing for the elbow lock and TD, maybe a bi-valve socket? Or would Step Up Hinges preflexed forearms to take care of himself be better utilized? Remember skin grafts.
On his lower extremities, he will have someone to help him if Silicone liners are used with a 4-bar knee and a locking knee on the other, if that is a possibility. He wants durability and no maintenance. Stubbies will give him better stability and maneuverability. Is that the only option?
I am hoping this will stimulate some expert responses. I will post them as they come in. Again, thank you.
Douglass J. Wacker, CPO, LPO
NUTECH Orthotics & Prosthetics, LLC
2422 E. Tyler Ave., Ste. A
Harlingen, TX. 78550
PH. 956-412-LEGS(5347)
FX. 956-412-3563
E-mail: <Email Address Redacted>
www.nutechoandp.net
Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you received this email in error please delete and notify the sender.
********************
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
Doug Wacker, CPO, “Quadrilateral Amputee Questions,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/230072.
