Dear list
I have a 35yo lady who had a transfemoral amputation 11 years ago due to severe lymphodema-congenital.
She ahs been well managed in a conventional suction socket. However over the 11 yrs the stump elongated to the point where the stump was 3″longer than her existing knee. The bottom 5-6″ was just fluid filled tissue. She has just had this revised and now the stump is supra-conylar in length which is the bone length.
My question is, what is the best socket design to minimise this recurring or is it inevitable it will recur?
I am thinking if an Ossur seal-in socket/silicon would help to contain it better? I am hessitant about this as I find that after some time of using them with early amputees or with the first few sockets that peoples stumps tend to narrow and elongate, which is exactly what we would like to try and avoid.
I am also thinking the evolution liner with the sealing sheath- this may be better as the seal can be made quite proximal on the socket.
Your thoughts, experiences and suggestions are welcome.
Many thanks
Andrew Cox
Prosthetist and Orthotist
+OAPL Health and Mobility Centre
Orthopaedic Appliances (Bendigo) Pty Ltd
PO Box 158 401-405 High st
Golden Square Vic 3555 Golden Square
Ph: (03) 5441 4333 Bendigo, Vic, Australia
Fax: (03) 5441 6555
