V-Liner Question
Jonathan Reynik
Description
Collection
Title:
V-Liner Question
Creator:
Jonathan Reynik
Date:
7/18/2013
Text:
Dear List Members:
I am writing to inquire whether anyone has experienced any unusual limb volume changes at the proximal edge of the Ossur V-Liner when fitting trans-tibial (Tt) patients. I'm currently working with two Tt patients with similar limb lengths, which puts the proximal edge of the silicone ring of the V-Liner just below the fibular head. Both patients are male, had different surgeons, one is early 20's the other late 40's, the younger is 2 years post-op whereas the older is nearly 1 year, and both became amputees as a result of a MVA.
I made a standard suction socket for each patient according to Ossur's recommendations, and yet after a month of daily use both patients lost significant volume at the proximal edge of the silicone ring. There is limited volume change at every other circumference measurement. I have a great deal of experience fitting Ossur liners and have not had any problems with any other liner. I suspect the proximity of the silicone ring to the fibular head is the cause but if so, why?
Looking foward to your thoughts.
Kind regards,
J. Reynik, LPO
NOTE: This email is confidential and meant only for the intended recipient(s) of the transmission and may be a communication privileged by law. If you receive this email in error, any review, use, dissemination, distribution, or copying is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and kindly delete the email and destroy all copies.
I am writing to inquire whether anyone has experienced any unusual limb volume changes at the proximal edge of the Ossur V-Liner when fitting trans-tibial (Tt) patients. I'm currently working with two Tt patients with similar limb lengths, which puts the proximal edge of the silicone ring of the V-Liner just below the fibular head. Both patients are male, had different surgeons, one is early 20's the other late 40's, the younger is 2 years post-op whereas the older is nearly 1 year, and both became amputees as a result of a MVA.
I made a standard suction socket for each patient according to Ossur's recommendations, and yet after a month of daily use both patients lost significant volume at the proximal edge of the silicone ring. There is limited volume change at every other circumference measurement. I have a great deal of experience fitting Ossur liners and have not had any problems with any other liner. I suspect the proximity of the silicone ring to the fibular head is the cause but if so, why?
Looking foward to your thoughts.
Kind regards,
J. Reynik, LPO
NOTE: This email is confidential and meant only for the intended recipient(s) of the transmission and may be a communication privileged by law. If you receive this email in error, any review, use, dissemination, distribution, or copying is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and kindly delete the email and destroy all copies.
Citation
Jonathan Reynik, “V-Liner Question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/235446.
