New bilateral TTA- feet?
Schafer, Kristin
Description
Collection
Title:
New bilateral TTA- feet?
Creator:
Schafer, Kristin
Date:
3/10/2011
Text:
Hello Respected Colleagues:
I have my mind set on a few styles/brands of feet to trial for this
gentleman but I'd like your experiential opinions as well.
We have a 20 year old college student who came down with septicaemia
(has PMHx of colon cancer with splenectomy and was supposed to be on
preventative doses of antibiotics but was non compliant). He went on to
have bilateral TT amputations and right hand amputations of all digits
and is left with a pad and left hand amputations of the 4th and 5th
digits. His hands are badly scarred and stiffened due to the septicaemia
and are being managed with various ranging and splinting through our OT
department.
In the interim, while I await feet to arrive, I have him set up with
9mm cushion liners and sleeves on Seattle lightfeet. He is ambulating
reasonably well in a platform walker. When he comes out of the walker he
has marked Trendelenberg patterning and poorer balance. He has been
walking for almost 2 weeks now and he is daily regaining strength. He
was so deconditioned from an extended ICU stay and has tremendous
weakness in his hip girdle. We are working to strengthen his core daily
but he can be resistant to too much training, due to fatigue mostly.
My question is, from your experience, what feet would you prescribe? I
am thinking the lightfeet may be suitable for now but what about when he
becomes healthier and stronger? What feet to do you recommend to better
ease the transition from now until a year from now. Our funding agency
may only allow for one more set of feet so I need to pick a pair that
will work with him as he improves. What are your thoughts?
He also has thoughts of snowboarding one day and potentially playing
soccer in the future.
Thanks in advance for your feedback.
Kristin
Kristin Schafer, B.Sc. (Kin.), C.P. (c)
Rehabilitation Engineering
Sudbury Regional Hospital- Laurentian Site
41 Ramsey Lake Rd.
Sudbury, ON
P3E 5J1
(705) 523-7100 x3176
I have my mind set on a few styles/brands of feet to trial for this
gentleman but I'd like your experiential opinions as well.
We have a 20 year old college student who came down with septicaemia
(has PMHx of colon cancer with splenectomy and was supposed to be on
preventative doses of antibiotics but was non compliant). He went on to
have bilateral TT amputations and right hand amputations of all digits
and is left with a pad and left hand amputations of the 4th and 5th
digits. His hands are badly scarred and stiffened due to the septicaemia
and are being managed with various ranging and splinting through our OT
department.
In the interim, while I await feet to arrive, I have him set up with
9mm cushion liners and sleeves on Seattle lightfeet. He is ambulating
reasonably well in a platform walker. When he comes out of the walker he
has marked Trendelenberg patterning and poorer balance. He has been
walking for almost 2 weeks now and he is daily regaining strength. He
was so deconditioned from an extended ICU stay and has tremendous
weakness in his hip girdle. We are working to strengthen his core daily
but he can be resistant to too much training, due to fatigue mostly.
My question is, from your experience, what feet would you prescribe? I
am thinking the lightfeet may be suitable for now but what about when he
becomes healthier and stronger? What feet to do you recommend to better
ease the transition from now until a year from now. Our funding agency
may only allow for one more set of feet so I need to pick a pair that
will work with him as he improves. What are your thoughts?
He also has thoughts of snowboarding one day and potentially playing
soccer in the future.
Thanks in advance for your feedback.
Kristin
Kristin Schafer, B.Sc. (Kin.), C.P. (c)
Rehabilitation Engineering
Sudbury Regional Hospital- Laurentian Site
41 Ramsey Lake Rd.
Sudbury, ON
P3E 5J1
(705) 523-7100 x3176
Citation
Schafer, Kristin, “New bilateral TTA- feet?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/232413.
