Thursday, October 10, 2024

Above knee amputation with no Femur

Taavy Miller

Hello,

I have a 51 y/o male patient who presents functionally as a hip
disarticulation, where as he has no right femur, but they left the muscle
and tissue from his previous transfemoral amputation. He was an AK, got an
infection which resulted in the doctors deciding to remove the femur only
while leaving the length. He says he has all of his pelvis. The patient has
a prosthesis currently but says it doesn’t work well for him. He has a
laminated socket with a hip joint and pelvic band, a TPE liner with a KISS
suspension, a hydrualic knee and luxon max foot. He lives in Venezuela,
where it is hot and he doesn’t want to compromise comfort but a liner is
hot for him. Complains his socket still rotates on him and the pelvic band
is uncomfortable.

Does anyone have any experience with a similar case? How did you approach
the socket design? It is difficult to control his tissue. He has a
realistic goal of walking with a cane in a comfortable socket.

Thank you in advance for any suggestions.


Taavy Miller, MSPO

Prosthetic Resident,
ABC Prosthetics & Orthotics
Orlando, FL

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