AK Socket Rotation Issues Responses
Stan Vydrzal
Description
Collection
Title:
AK Socket Rotation Issues Responses
Creator:
Stan Vydrzal
Date:
9/26/2011
Text:
Thanks to everyone who replied.
Original Problem
I have an active 50 year old patient that I made an AK prosthesis for. He
plays golf and rides a bike. When claims when he is active and sweats his
socket internally rotates. I have deepened the socket slightly and
decreased the tensions because I though maybe it was shallow or too tight.
Not sure the depth was an issue but it was a little tight. His tissue is
firm. I thought it was tight and not letting his muscles fire. All the
measurements seem good now but he still has the problem. The new socket is
without proflex and he uses pure suction. Myself nor the guys I work with
have come up with a good solution.
Recommend Certain-Dri. Available at Wal-Mart and most pharmacies, OTC. Will
help control sweat issues. Hope it helps.
I have a patient who was in a similar situation. He was in a skin fit
suction socket when I first started seeing him and he had the same issues.
I believe the patients lose suction because when they are active and
perspire, they actually lose volume. We ended up switching him to an Ossur
seal-in liner. After a few weeks his skin became used to wearing a liner
and the suspension is very good. He does still perspire during certain
activities, but it is much better than when he was in the skin fit socket.
He has been in the system for four years now and loves it. He uses a belt
when he is doing really active things, like cycling which is for added
security in case he loses suction. The system is nice because he can add
socks if he loses a lot of volume over a long period of time and gives him a
barrier between the socket and his skin.
Hope this is beneficial information. Good Luck!
I would consider a OKC channel. This is done by adding a piece of pelite
down the posterior of the Femur. This should cut down on the rotation. You
could also consider a Narrow M-L socket.
Regards,
How is he donning the socket? Is it with a pull sock or does he use a wet
fit, like lotion to get in? If it's a wet fit I'd try to get him to use a
pull sock to don. He could also use an antiperspirant; I know there are
ones specific for amputees. I'd also check the valve to make sure he is
maintaining suction. Maybe it's not as airtight as it could be. Finally,
check the type of bike he rides, if it is a racing bike and he's leaning
over to the handlebars could be a matter of the anterior trimline hitting
his stomach or the seat causing internal rotation, not sweating. Hope this
helps..
--
Stan Vydrzal CP
Muilenburg Prosthetics Inc.
713-524-3949
CONFIDENTIALITY NOTICE: This 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 are not the intended recipient, please
contact the sender by reply e-mail and destroy all copies of the original
message.
Original Problem
I have an active 50 year old patient that I made an AK prosthesis for. He
plays golf and rides a bike. When claims when he is active and sweats his
socket internally rotates. I have deepened the socket slightly and
decreased the tensions because I though maybe it was shallow or too tight.
Not sure the depth was an issue but it was a little tight. His tissue is
firm. I thought it was tight and not letting his muscles fire. All the
measurements seem good now but he still has the problem. The new socket is
without proflex and he uses pure suction. Myself nor the guys I work with
have come up with a good solution.
Recommend Certain-Dri. Available at Wal-Mart and most pharmacies, OTC. Will
help control sweat issues. Hope it helps.
I have a patient who was in a similar situation. He was in a skin fit
suction socket when I first started seeing him and he had the same issues.
I believe the patients lose suction because when they are active and
perspire, they actually lose volume. We ended up switching him to an Ossur
seal-in liner. After a few weeks his skin became used to wearing a liner
and the suspension is very good. He does still perspire during certain
activities, but it is much better than when he was in the skin fit socket.
He has been in the system for four years now and loves it. He uses a belt
when he is doing really active things, like cycling which is for added
security in case he loses suction. The system is nice because he can add
socks if he loses a lot of volume over a long period of time and gives him a
barrier between the socket and his skin.
Hope this is beneficial information. Good Luck!
I would consider a OKC channel. This is done by adding a piece of pelite
down the posterior of the Femur. This should cut down on the rotation. You
could also consider a Narrow M-L socket.
Regards,
How is he donning the socket? Is it with a pull sock or does he use a wet
fit, like lotion to get in? If it's a wet fit I'd try to get him to use a
pull sock to don. He could also use an antiperspirant; I know there are
ones specific for amputees. I'd also check the valve to make sure he is
maintaining suction. Maybe it's not as airtight as it could be. Finally,
check the type of bike he rides, if it is a racing bike and he's leaning
over to the handlebars could be a matter of the anterior trimline hitting
his stomach or the seat causing internal rotation, not sweating. Hope this
helps..
--
Stan Vydrzal CP
Muilenburg Prosthetics Inc.
713-524-3949
CONFIDENTIALITY NOTICE: This 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 are not the intended recipient, please
contact the sender by reply e-mail and destroy all copies of the original
message.
Citation
Stan Vydrzal, “AK Socket Rotation Issues Responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/232905.
