Very Short Transfemoral/Shoulder Disarticulation

Eric Schwelke, C.P.O.

To all:

We are evaluating a new referral w/ the following Hx:

36 yo female s/p traumatic (suicide attempt) Rt. Transfemoral and Rt.

Shoulder Disarticulation. We are only considering lower extremity now. We

have requested films to get a better idea of bone length, but it appears to

be only 1-2 inches. Almost entire aspect of residuum is grafted in a

patchquilt; very lumpy and firm but in good condition. Grafts go as high as

iliac crest. ROM is WNL, and muscle power is good all around. Physically,

there are no other problems. Referral is in a rehab setting, completely

independent, ambulates (hops) with a walker with center handle for 100′-150′

and is highly motivated at this point in time. We are leaning towards

treating as a hip dis, as we don’t see how a transfemoral socket can be

functional.

Any ideas, suggestions, or comments on casting techniques, socket design,

and hip/knee components would be greatly appreciated. Replies will be

posted back on the server for all interested.

Thanks in advance,

Eric Schwelke, C.P.O.

legs@home.com

Apologies if this is a duplicate, I wasn’t sure if it was delivered.

 

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