Bilateral above elbow challenges
Kinsey Herrin
Description
Collection
Title:
Bilateral above elbow challenges
Creator:
Kinsey Herrin
Date:
5/21/2016
Text:
Dear List,
I currently have a patient who has bilateral above elbow amputations. He is
an excellent candidate for body powered prostheses as he has his own
business caring for and selling orchids.
His left limb is long and cylindrical and amputated just above the elbow.
There is about 3/4 between the distal end and where his anatomical elbow
joint should be. The right limb is actually bulbous on the distal end but
shorter so there is more room for a mechanical elbow. He was previously
right hand dominant.
I have several questions:
1. I am weighing the pros and cons of keeping the elbow centers at a normal
place and also maintaining humeral rotation. What strategies have worked
for your patients? Do you prefer to sacrifice the cosmetics for the
rotation?
2. What is the best way to help a bilateral patient with a bulbous limb don
prostheses independently? And what socket designs have you used
successfully?
3. If and when externally powered prostheses become an option, what elbow
joints do you like best and why?
Thanks for any feedback and I'll be happy to re-post all replies.
Cheers,
Kinsey Herrin
--
*Kinsey Herrin, MSPO, CPO/LPO*
Certified/Licensed Prosthetist/Orthotist
Ortho Pro Associates, Inc.
(305) 598-9688
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I currently have a patient who has bilateral above elbow amputations. He is
an excellent candidate for body powered prostheses as he has his own
business caring for and selling orchids.
His left limb is long and cylindrical and amputated just above the elbow.
There is about 3/4 between the distal end and where his anatomical elbow
joint should be. The right limb is actually bulbous on the distal end but
shorter so there is more room for a mechanical elbow. He was previously
right hand dominant.
I have several questions:
1. I am weighing the pros and cons of keeping the elbow centers at a normal
place and also maintaining humeral rotation. What strategies have worked
for your patients? Do you prefer to sacrifice the cosmetics for the
rotation?
2. What is the best way to help a bilateral patient with a bulbous limb don
prostheses independently? And what socket designs have you used
successfully?
3. If and when externally powered prostheses become an option, what elbow
joints do you like best and why?
Thanks for any feedback and I'll be happy to re-post all replies.
Cheers,
Kinsey Herrin
--
*Kinsey Herrin, MSPO, CPO/LPO*
Certified/Licensed Prosthetist/Orthotist
Ortho Pro Associates, Inc.
(305) 598-9688
********************
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
Kinsey Herrin, “Bilateral above elbow challenges,” Digital Resource Foundation for Orthotics and Prosthetics, accessed December 25, 2024, https://library.drfop.org/items/show/242176.