Total concept foot cosmesis

Hill, Geoff

Dear List,
I have a client using and liking a Total Concept foot. However she is a little particular about cosmesis and I have yet to meet her standards.

Issue 1 – foam cover bulges either anteriorly or posteriorly depending which end of the heel height range she is using (and she uses the whole range within a few days). The manufacturer’s recommendation of using a softer foam around the ankle was only partially succesful. I’ve experimented with a ‘skirt’ system which slides over the footshell. This has showed promise but I’m not completely happy with it – I need just the right material…. Also as the client is about 4 months post amputation, adjustments are frequent so the cover must be removeable.

Issue 2 – that crazy foot colour. Enough said! I’ve found paints that bond well but are poor colours and paints with good colour but don’t bond.

Any suggestions on both these points gratefully received

Geoff Hill
Prosthetist,
Caulfield General Medical Centre,
Australia.

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