BK fit question

BK fit question

chrisj

1/31/2012

List,

I have a non-English speaking patient in her late 50's who is 5'3 and
220lbs with a short to average length residuum. She has continuous fibular
issues and the socket design has ranged from a modified PTB/total contact
design with a pre-tibial modification to a more bland total surface bearing
design. The fibula is extremely mobile and painful when manipulated
anteriorly and posteriorly. She states when manually manipulated in the A-P
manner that replicates the pain when wearing the prosthesis. She has worn a
pin system, passive suction system and now in an elevated vacuum system.
She also has a bad knee resulting in A-P instability on the amputated side.
She is diabetic so revision with a graft to create an Ertl is not an
option.

Minus revision to an AK (kidding), anyone have any creative ideas to
address the mobile fibula? I've played with A-P dimensions to better
suspend her in the socket but to little help. The elevated vacuum has
helped with her knee instability and she likes this system for that reason.
She states that no suspension mechanism has been any better than the other
in regards to the fibula issue.

Thank you.


Christopher Jones, CPO

Rebound Prosthetics, Inc.
1664 Lafayette St
Denver, CO 80218
Phone: 303.832.7287
Fax: 303.830.0327

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