Challenging TT case
Tom Sandy III
Description
Collection
Title:
Challenging TT case
Creator:
Tom Sandy III
Date:
1/12/2012
Text:
Dear list serve members,
I currently have a challenging case I'm working through and would like input from my colleagues who have run into this situation. Pt is a 50 y/o male s/p TTA in July 2011. Comorbidities include DM II and PVD. Healing time took 5 months and revision is unlikely due to many health concerns.This gentleman has a Hx of falls, two of which resulted in the opening of the incision and subsequent distal anterior adherency. He has had distal tenderness from immediately following the amp that is now exacerbated by ambulating with a prosthesis. The issue is, if the socket is tight enough to provide minimal to no distal WB he c/o distal pain from upward traction on the sides of the limb. If I make the socket larger to alleviated the traction this increases distal WB and therefore pain. I have tried tightening, loosening the socket and a plastazote distal end pad with no effect on pain. Where should I go from here?
Thomas E. Sandy III, CP/LP
Hanger Orthopedic Group
3435 Holland Sylvania Rd.
Toledo, OH 43615
Office: 419-841-9852
Fax: 419-843-2727
Cell: 419-261-3487
Sent from my iPhone
I currently have a challenging case I'm working through and would like input from my colleagues who have run into this situation. Pt is a 50 y/o male s/p TTA in July 2011. Comorbidities include DM II and PVD. Healing time took 5 months and revision is unlikely due to many health concerns.This gentleman has a Hx of falls, two of which resulted in the opening of the incision and subsequent distal anterior adherency. He has had distal tenderness from immediately following the amp that is now exacerbated by ambulating with a prosthesis. The issue is, if the socket is tight enough to provide minimal to no distal WB he c/o distal pain from upward traction on the sides of the limb. If I make the socket larger to alleviated the traction this increases distal WB and therefore pain. I have tried tightening, loosening the socket and a plastazote distal end pad with no effect on pain. Where should I go from here?
Thomas E. Sandy III, CP/LP
Hanger Orthopedic Group
3435 Holland Sylvania Rd.
Toledo, OH 43615
Office: 419-841-9852
Fax: 419-843-2727
Cell: 419-261-3487
Sent from my iPhone
Citation
Tom Sandy III, “Challenging TT case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed December 25, 2024, https://library.drfop.org/items/show/233237.
