Thank you all, who responded, your input was very valuable. Below is my
original question followed by the replies I received.
*Dear List,*
*What components would you suggest for the following patient?*
*113 Lbs 21-year old female, transfemoral amputee for 5 years; medium
length well healed residual limb; currently wearing a full suction socket,
mechanical 4-bar knee, s/a foot. Considering her low physical weight, I
would like suggestions of light weight, yet highly functional knee and foot
modules. *
* *
I’ve used OttoBock 3R60=O for with success for these light weight
clients. Also, TiMed makes a nifty 20mm carbon tube and titanium tube clamp
adapter to fit adult sized pyramids. This way you get a light weight pylon
and can use and adult foot like a Trias.
I like the Variflex without the split toe for TF amputees. It’s about as
light and active as you will find. And, since she is in a 4-bar already, a
Total Knee 2000. I’m not a fan of the Total Knee, except for previous
wearers.
I had a similiar pt. not to long ago that was 120 lbs and a 26 year old
AK. I fit her with a Freedom MPK and a runway foot. She is having great
results. Hope this helps.
You likely not to find any lighter foot than Dycor.
I have used a total knee (Ossur) along with a trias foot (Otto Bock). I
also fabricate pre-preg sockets which are a fraction of the weight of a
traditional lamination. Let me know if you are interested.
The trias foot from Ottobock is super light and has a lot of motion.
Recently had similar situation and used a child’s Total knee and 22 cm sure
flex foot.
You might consider Dycor’s definitive foot/ankle/pylon. Combined weight is
approx. one lb. Foot is flexible keel, ankle single or tri-axial, pylon
advanced composite emery storing.
I’m thinking suction socket as she currently has. C-Leg/torsion and Trias
with a 4R57 rotator.
If he doesn’t want go with an MPK go with a 3R60 Pro first and a 3R106
second. All the same components otherwise, torsion pylon and 4R57 rotator.
—
*Stephan R. Manucharian, MA, MSc, CP, BOCO, LP(NJ), FAAOP
Clinical Director
Orthopedic Arts Laboratory, Inc.
141 Atlantic Ave., Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
http://www.OrthopedicArts.net
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