Responses to difficult to remove TF socket
Duane Nelson
Description
Collection
Title:
Responses to difficult to remove TF socket
Creator:
Duane Nelson
Date:
12/5/2014
Text:
Dear List,
Thanks for the responses to my inquiry. Here is the original post with the responses summarized below.
I am looking for suggestions to aid in doffing a hard-to-take-off skin suction transfemoral socket. The elderly patient has a long residual limb (almost KD) and soft tissue. The socket is not too tight and donning the socket with a pull-in sock (zip-whiz) is no problem. The patient finds it easier to remove the prosthesis if he uses a little cream (Procomfort Gel) during donning but this results in socket slippage and rotation. He finds talcum powder unhelpful.
1-You might try lightly sanding the texture of the socket, works with laminated and flexible liners.
2- If it is a hard socket you might try sanding the inside with a 200 grit or finer sandpaper to break the glass like finish. If it is a flexible socket it usually self resolves as it absorbs some body oil but I have had some luck hurrying it along by wiping the inside with silicone spray. I usually have to repeat it a few times but it seems to solve it after a few weeks.
3-Ossur single seal with hand sanitizer. If needed create a vacuum plug to don whilst sitting, use a modified fish pump to run vacuum.
4-Have you considered a second, more proximal valve in an area of tightness to release local tension?
thank you all for sharing,
Duane Nelson C.P(c)
Saskatchewan Abilities Council
Thanks for the responses to my inquiry. Here is the original post with the responses summarized below.
I am looking for suggestions to aid in doffing a hard-to-take-off skin suction transfemoral socket. The elderly patient has a long residual limb (almost KD) and soft tissue. The socket is not too tight and donning the socket with a pull-in sock (zip-whiz) is no problem. The patient finds it easier to remove the prosthesis if he uses a little cream (Procomfort Gel) during donning but this results in socket slippage and rotation. He finds talcum powder unhelpful.
1-You might try lightly sanding the texture of the socket, works with laminated and flexible liners.
2- If it is a hard socket you might try sanding the inside with a 200 grit or finer sandpaper to break the glass like finish. If it is a flexible socket it usually self resolves as it absorbs some body oil but I have had some luck hurrying it along by wiping the inside with silicone spray. I usually have to repeat it a few times but it seems to solve it after a few weeks.
3-Ossur single seal with hand sanitizer. If needed create a vacuum plug to don whilst sitting, use a modified fish pump to run vacuum.
4-Have you considered a second, more proximal valve in an area of tightness to release local tension?
thank you all for sharing,
Duane Nelson C.P(c)
Saskatchewan Abilities Council
Citation
Duane Nelson, “Responses to difficult to remove TF socket,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/236961.
