Problems with a partial foot contracture patient

Problems with a partial foot contracture patient

Jason Rovig

5/14/2013

I've been working with a very pleasant lady in her 50's who has had her foot amputated several years ago but has had an ulcer on the distal plantar surface for the last year or so due to a 35-40 deg plantarflexion contracture and a 30+degree contracture into varus. She is diabetic, edema varies by the day and is blind with an amputation that appears to be at the Chopart level. I originally tried to fit her with a Zero G to unload because at the time she had an abcess that was healing, MRSA and cellulitis. Which worked until she developed an ulcer in a new area. Has anyone had any luck with a similar patient that they could shed some light on? Or is there any chance of stretching her into a better position? The problem is I have to fit her with something that adjusts to the edema and any weightbearing immediately collapses into total varus turning her foot sideways. She works and uses a wheelchair. Only weight bearing is transfers. I've tried a leather PTB with no luck as well.

Jason Rovig CPO

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