Pediatric BK
Stephan Manucharian
Description
Collection
Title:
Pediatric BK
Creator:
Stephan Manucharian
Date:
3/8/2013
Text:
Dear List,
I would like to ask for suggestions of socket design for a 10 year old
congenital left transtibial and right transradial amputee. His residual
limb is very long and thin (10 long, at MPT level = 7 3/4, distally = 5
1/4 in circumference). For the last few years we have been fitting him
with Ohio Willow P-POD 3 mm liners (Extra small plus cushion), a modified
KISS suspension (without distal attachment). He never could tolerate a
locking liner because of distal discomfort. He is a very active child,
plays soccer. He had a few t/radial prostheses, including a myo, but
chooses not to wear them. I would like to change the design of the t/tibial
socket. The existing system works, but there is still inherent pistoning
and some rotational instability. I was thinking of a cushion liner with a
sleeve, but there are 2 issues that make this system inferior: durability
of sleeves (a kid of his activity level will go through a sleeve in a week)
and the probable difficulty of donning the suspension sleeve with one hand
and the residual limb of the opposite upper extremity. I would really love
to have a Seal-in liner available for a stump of his size! Any suggestions?
Thanks in advance!
Stephan
--
*Stephan R. Manucharian, DHSc(c), CP, BOCO, LP(NJ), FAAOP
Clinical Director
Orthopedic Arts Laboratory, Inc.
141 Atlantic Ave., Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<URL Redacted>
The content of this communication is for exclusive use of the addressee and
may contain confidential, privileged and non-disclosable information. If
the recipient of this communication is not the addressee, such recipient is
strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.
*
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questions, send e-mail to the moderator
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OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
I would like to ask for suggestions of socket design for a 10 year old
congenital left transtibial and right transradial amputee. His residual
limb is very long and thin (10 long, at MPT level = 7 3/4, distally = 5
1/4 in circumference). For the last few years we have been fitting him
with Ohio Willow P-POD 3 mm liners (Extra small plus cushion), a modified
KISS suspension (without distal attachment). He never could tolerate a
locking liner because of distal discomfort. He is a very active child,
plays soccer. He had a few t/radial prostheses, including a myo, but
chooses not to wear them. I would like to change the design of the t/tibial
socket. The existing system works, but there is still inherent pistoning
and some rotational instability. I was thinking of a cushion liner with a
sleeve, but there are 2 issues that make this system inferior: durability
of sleeves (a kid of his activity level will go through a sleeve in a week)
and the probable difficulty of donning the suspension sleeve with one hand
and the residual limb of the opposite upper extremity. I would really love
to have a Seal-in liner available for a stump of his size! Any suggestions?
Thanks in advance!
Stephan
--
*Stephan R. Manucharian, DHSc(c), CP, BOCO, LP(NJ), FAAOP
Clinical Director
Orthopedic Arts Laboratory, Inc.
141 Atlantic Ave., Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<URL Redacted>
The content of this communication is for exclusive use of the addressee and
may contain confidential, privileged and non-disclosable information. If
the recipient of this communication is not the addressee, such recipient is
strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.
*
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Stephan Manucharian, “Pediatric BK,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/234871.
