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Wow! Now that’s what I’m talking about! Some very good responses back,
including one from Senor Ortiz himself (as I guess I should have
expected but still took me by surprise!)
I certainly didn’t expect the awesome responses back that I did after my
disgruntled follow up. Again I always dislike email in that it is
difficult to convey tone of voice, subtle meanings etc. Luckily no one
seems to have interpreted my email as rude. I did not wish to be rude
about my response back (and I hope you did not feel as though I was
knocking the MAS socket design) but it is easier to bring to a
prosthetist some suggestions that he can implement immediately in socket
design rather than suggesting he attend a two-day seminar to learn about
designing the M.A.S. socket. I am hoping there are options we can
provide this young lady with now.
Similar question that I have had asked in several emails back
How long is her limb? Is her limb currently flabby or firm? What type
of suspension are you using?
Unfortunately/fortunately her limb is what I would consider to be too
long. Great for leverage, not great for cosmetic reasons (even with
seal-in liner her knee axis is beyond her contralateral knee axis).
After her original surgery (traumatic) she had developed painful bone
spurs. She had revision surgery (Gottschalk), and while the bone length
is very good the soft tissue was not reduced enough and she has quite a
bit of redundant tissue. Therefore I would classify the distal aspect
of her limb to be “flabby” but her proximal portion to be firm. She is
using an narrow ML (“ischial containment”) socket, flexible brim, and an
Iceross seal-in liner.
I will patiently wait further responses before posting further follow
ups.
Sincere thanks again!
Patrick Gross
