Message-ID: <[email protected]>
Date: Fri, 24 Jul 1998 08:51:07 -0400
From: Bob Busch
Reply-To: [email protected]
Organization: PDI
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This patient is a right below knee amputee. He has been an amputee for
approximately 10 years, secondary to a trauma. This patient is a
farmer, he has always worn some type of silicone suction device and he
started in the Iceross sleeve. Then after five years progress to the
Iceross clear sleeve, and then after three more years he progressed to
the Alpha liner. In just the last year has progressed to the Iceross
comfort sleeve. This patient is very clean, talkes very good care of
his prosthetic equipment and usually keeps a sleeve up until about three
years. The current sleeve that he is wearing is less than 6 months old
and he rotates between two sleeves. He uses Lever 2000 soap for his
residual limb and his Iceross liner and rinses both of them very well.
He has no pre-existing health conditions, he is non-diabetic, always see
the doctor for colds, those types of things. He is a dairy farmer and
also farms about 1000 acres of corn and beans. He manages about 40 head
of dairy cows. In the last three years this patient has experienced
four cysts in the posterior proximal region of his residual limb.
Normally above, at or below the prpliteal trimline. He has had one
mid-line and the other two have been at or distal to the posterior
trimline. There does not appear to be any excessive pressure in the
posterior region of the residual limb and the patient does not produce
any type of tissue bulge in the posterior regoin. These lesions do not
appear to be tied to excessive pressure when you take the patient’s
sleeve off and you wait for 3-5 minutes. The tissue does not redden.
It does redden at the patella tendon area, at the proximal border of the
patella itself and slightly mid to distal region of the tibia. He does
get some hair follicle infection from time to time and currently there
is an inflamed and what appears to be an infected follicle at the distal
border of this particular cyst. If anyone has experienced anything like
this, I would appreciate it if they would contace me through the e-mail
with any possible solutions to the cause of this and how to avoid it
again.
