Sunday, October 6, 2024

Elephantiatis & a TFA

Rick

Good Day All,
Met with a 52 y/o lady this morning who is undergoing a L-transfemoral amputation d/t diabetic wound & osteomyelitis of the ankle.  Complication:  Long standing Elephantiasis of the LEs; L much worse than R.  Her knee is not infx’d, but the surgeon is going AK d/t  the enormity of her calf (circumference: 32″)  & the long term skin-structural anomalies.

She claims the lymphedema has never been an issue in the thighs & they appeared WNL for a 6′, 300 lb female.   She is very motivated & has been ambulatory w/o assistive device until infx worsened.  Just wondering if anyone has worked w/this condition post amputation?  Liners?  Suspension?  Considerations outside the norm?  Thanks for the input & have a great weekend.
Rick
  
Rick Milen, CPO, PTA
NEXSTEP, Inc.
Prosthetic Specialists
West Lawn, PA
http://www.iwalknexstep.com/

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