V-Liner Question

Jonathan Reynik

Description

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
 
 
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Citation

Jonathan Reynik, “V-Liner Question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235446.