Friday, May 20, 2022

I NEED HELP WITH DIFFICULT TRANSTIBIAL

Berger, Christopher

I am working with a client,75 years old,R VARY SHORT transtibial.
His amputation is about3.5cm below the knee. His knee
is fully contracted, no usable ROM at the knee. His patella is rotated
downward. There is about a 4 cm difference between SCML and
condylar ML. His distal tibia is posterior and is somewhat prominent
Currently,I have made a static check socket W/quad type brim. The pt is
comfortable and is able to stand for long periods of time.
The socket is a clam shell with velcro closures made from vivak,3 ply. I
have also taken a tracing of his sound limb as well as
numerous measurements.
I would appreciate any help or comments, ideas about this pt. Would you use
a leather socket? What joints would you use? Would you stay with
a hard socket? What would you use for a shank and foot system?
ANY HELP WOULD BE GREATLY APPRECIATED! THANX!

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