Treatment for Pt. with burn scaring

Theo Forosty

Description

Title:

Treatment for Pt. with burn scaring

Creator:

Theo Forosty

Date:

2/28/2011

Text:

Hello List,

I was hoping to get some advice or suggestions regarding a patient
that was recently seen in clinic.

Pt. is an active 28 y.o. with a RT Transtibial amputation secondary to
an explosion 4 years ago. He is in need of a new socket after
developing a chronic ulcer on the distal aspect of his residual limb.
He is currently using a TSB socket with a gel locking liner w/ a
shuttle lock and a multi-axial foot.

He has an average length RL. Good strength with Hip Flexors and
Extensors 5/5 and Knee Flexors and Extensors 5/5.
He has scaring from a burn covering 60% TBSA which includes his entire
residual limb.

The patient also has upper limb involvement. He is missing digits B/L
and lacks full ROM in phalanges due to scarring. However, he is able
to donn a gel locking liner independently with the use of a custom
stand provided by our facility.

Pt has had a history of missing appointments and other compliancy issues.

For his next prosthesis we would like to continue use of a TSB socket
with a multi-axial foot and provide him with custom urethane liners.
Any suggestions or feedback would be appreciated. Thanks.

Theo Forosty CO, Prosthetic Resident

                          

Citation

Theo Forosty, “Treatment for Pt. with burn scaring,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/232363.