Tuesday, October 15, 2024

follow up Re: adductor roll

Jean Hobkirk

Thank you all for your responses, I really appreciate everyone’s willingness to offer suggestions. Below is a summary of ideas that were shared.

*
You could create a relief, probably fairly substantial in this guys case, just distal to the medial tirmline where the adductor tissue “squeezes” out. Maintain comfortable pressure at the trimline to 1/2 inch distal and open/relieve distal to that. If he already has an adductor roll it will provide tolerable relief for the tissue and over time you can fill in the relief to reduce the tissue roll.
*
Have you considered a double socket with vacuum, allowing you to lower trimlines significantly?
*
Get that medial wall up all the way proximal and curve it in or create a pocket for the tissue slightly distal to the proximal trim line. I have had success doing this with a flexible socket frame type socket. He must be able to pull all the roll inside the socket and down into the pocket. (several people agreed with this suggestion)
*
long legged briefs…the newer ones have a leg band to help hold in place…wear under the liner…with women I used bicycle shorts the lycra helps out… ( several people agree with this suggestion )
*
I have used a custom liner. Either a custom 3-S or a customized gel liner. I feel it is important to regulate the tension. With the off-the-shelf-tube type shape it is not as easy to do and I think the proximal brim gets too tight.
*
If you are using suction, have you tried the donning bag. It’s called the E-Z donning bag.
*
I would definitely recommend elevated vacuum socket design, it manages the soft tissue volume, it does not rely on proximal loading, it is super stable ML, AP, and rotation, and cuts down the perspiration.

Jean Hobkirk, C.P.
Yuma, AZ

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?