follow up Re: adductor roll
Jean Hobkirk
Description
Collection
Title:
follow up Re: adductor roll
Creator:
Jean Hobkirk
Date:
6/11/2009
Text:
Thank you all for your responses, I really appreciate everyone's willingness to offer suggestions. Below is a summary of ideas that were shared.
*
You could create a relief, probably fairly substantial in this guys case, just distal to the medial tirmline where the adductor tissue squeezes out. Maintain comfortable pressure at the trimline to 1/2 inch distal and open/relieve distal to that. If he already has an adductor roll it will provide tolerable relief for the tissue and over time you can fill in the relief to reduce the tissue roll.
*
Have you considered a double socket with vacuum, allowing you to lower trimlines significantly?
*
Get that medial wall up all the way proximal and curve it in or create a pocket for the tissue slightly distal to the proximal trim line. I have had success doing this with a flexible socket frame type socket. He must be able to pull all the roll inside the socket and down into the pocket. (several people agreed with this suggestion)
*
long legged briefs...the newer ones have a leg band to help hold in place...wear under the liner...with women I used bicycle shorts the lycra helps out... ( several people agree with this suggestion )
*
I have used a custom liner. Either a custom 3-S or a customized gel liner. I feel it is important to regulate the tension. With the off-the-shelf-tube type shape it is not as easy to do and I think the proximal brim gets too tight.
*
If you are using suction, have you tried the donning bag. It's called the E-Z donning bag.
*
I would definitely recommend elevated vacuum socket design, it manages the soft tissue volume, it does not rely on proximal loading, it is super stable ML, AP, and rotation, and cuts down the perspiration.
Jean Hobkirk, C.P.
Yuma, AZ
*
You could create a relief, probably fairly substantial in this guys case, just distal to the medial tirmline where the adductor tissue squeezes out. Maintain comfortable pressure at the trimline to 1/2 inch distal and open/relieve distal to that. If he already has an adductor roll it will provide tolerable relief for the tissue and over time you can fill in the relief to reduce the tissue roll.
*
Have you considered a double socket with vacuum, allowing you to lower trimlines significantly?
*
Get that medial wall up all the way proximal and curve it in or create a pocket for the tissue slightly distal to the proximal trim line. I have had success doing this with a flexible socket frame type socket. He must be able to pull all the roll inside the socket and down into the pocket. (several people agreed with this suggestion)
*
long legged briefs...the newer ones have a leg band to help hold in place...wear under the liner...with women I used bicycle shorts the lycra helps out... ( several people agree with this suggestion )
*
I have used a custom liner. Either a custom 3-S or a customized gel liner. I feel it is important to regulate the tension. With the off-the-shelf-tube type shape it is not as easy to do and I think the proximal brim gets too tight.
*
If you are using suction, have you tried the donning bag. It's called the E-Z donning bag.
*
I would definitely recommend elevated vacuum socket design, it manages the soft tissue volume, it does not rely on proximal loading, it is super stable ML, AP, and rotation, and cuts down the perspiration.
Jean Hobkirk, C.P.
Yuma, AZ
Citation
Jean Hobkirk, “follow up Re: adductor roll,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/230377.
