Friday, May 20, 2022

bka w/ paraplegia

Justin Foster

Dear List,

Any considerations/experience out there in fitting a person with long hx. of
lower thoracic paraplegia with a bk prosthesis? Weightbearing in transfers
only, full community wheelchair ambulation, cosmesis a vocational concern…
Here are some specific thoughts:

Is a locking liner OK??? Without the force of full weightbearing, will the
liner cause pooling of blood/fluids in the distal end?

Will limb reduce in size, as a standard bk would? – (muscle already fully
atrophied due to long-term para.)

Any socket design ideas beyond lowering posterior wall for sitting???

Thanks, if there’s anything else I really missed I’d love to hear… This
seems like a constructive use of the list, maybe I’ve found a new pastime…
patient care!!! (I know I know… about time, right?!?) Thanks everybody…

sincerely,

Justin Foster
Prosthetic Resident

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