Hello,I need your thoughts on this.  We have a 44 yo very active very short TT amputee.  He is around 250-70 lbs.  Tibial length is just below tubercule with no fibula Cause is trauma as a youth.  He has been successful with all types of socket designs through his years. Pins, vacuums of both types, extended trim lines, alignments, etc. The problem:His current employment requires extensive walking throughout each day.  He is developing a number of chronic recurring issues; namely, increased genu valgus with hyper extension and popliteal cysts with scar tissue buildup. Â
We have cautioned him in the past for the need of joints and corset for protection. Â He has been reluctant because of negating vacuum.I believe I have read/seen of manufactured KOs, (Bledsoe, Â Don Joy, Medi, Ossur, the usual list) that are capable of being combined with prostheses; either in a permanent state ( integrated) or removable.
Anyone have any thoughts or direction?
Thank you
Bill Schumann, CPO
