KDA fitting
David FM Cooney, PT, CPO
Description
Collection
Title:
KDA fitting
Creator:
David FM Cooney, PT, CPO
Date:
2/9/2011
Text:
Good Day List -
I would like to inquire of your successful fittings and or suggestions for
the clinical presentation as follows - 40 year old male s/p elective knee
disarticulation surgery after a protracted salvage history of the lower
extremity due to a motorcycle accident. Of significant note is a flail,
ipsilateral upper extremity from the same accident. He is well motivated
and in otherwise good shape. An attempt to myodese and secure the
patella distally was not successful as he exhibits selective AP movement of
the distal tissues. The resultant limb is conical, with shaved condylar
margins and end-bearing capacity. There is good muscle tone in the
residuum.
Given his UE involvement and the length considerations with a KDA, my
first thoughts were to fashion a standard suction socket with pull-in
technique in a sub-schial design given the distal WB capabilities. I had
thought about a liner and the attendant suspension options, but was
concerned with his ability to unilaterally don a liner as well as the added
length it would incur to the socket as a whole.
Other options, impressions, and/or recommendations will be well received
and listed unless otherwise requested.
Thank you for your consideration.
David FM Cooney, PT, CPO
Swiss Balance
(310) 458-9648
I would like to inquire of your successful fittings and or suggestions for
the clinical presentation as follows - 40 year old male s/p elective knee
disarticulation surgery after a protracted salvage history of the lower
extremity due to a motorcycle accident. Of significant note is a flail,
ipsilateral upper extremity from the same accident. He is well motivated
and in otherwise good shape. An attempt to myodese and secure the
patella distally was not successful as he exhibits selective AP movement of
the distal tissues. The resultant limb is conical, with shaved condylar
margins and end-bearing capacity. There is good muscle tone in the
residuum.
Given his UE involvement and the length considerations with a KDA, my
first thoughts were to fashion a standard suction socket with pull-in
technique in a sub-schial design given the distal WB capabilities. I had
thought about a liner and the attendant suspension options, but was
concerned with his ability to unilaterally don a liner as well as the added
length it would incur to the socket as a whole.
Other options, impressions, and/or recommendations will be well received
and listed unless otherwise requested.
Thank you for your consideration.
David FM Cooney, PT, CPO
Swiss Balance
(310) 458-9648
Citation
David FM Cooney, PT, CPO, “KDA fitting,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/232302.
