I’m dealing with a difficult AK fitting on an out-of-town client. The
client is very intelligent, 60 years old, very obese with a limb
approximately 1.5 times as long as it is in diameter. He has always worn
a suction socket using lotion to slide in. He has always had difficulty
with this system and has a chronic choke in the distal tissues. The socket
also tends to rotate internally during ambulation. I”ve gotten him into a
socket that is substantially better than his previous fit but still tends
to rotate. The client is unable to pull in to a conventional suction
socket and is unable to tolerate the distal traction of a roll-on pin lock
suspension sleeve. Due to his obesity I don’t think he would do well with
a suspension belt.
I’m at a bit of a loss for how to suspend this gentleman’s prosthesis. Any
suggestions? What am I forgetting?
Ted A. Trower C.P.O.
A-S-C Orthotics & Prosthetics
Jackson, Michigan, USA
www.amputee.com
