Tracy, et. al………
The solution to the problem stated below may bed a simple one! It
sounds as if this patient recurrent problem may be associated the bacterial
infections which may in someway relate to his occupation as a farmer.
I have found that the “daily” AM use of an Antibacterial Hand Sanitizer
(obviously not restricted to use on hand), such a Dial or a similar
product, may be all that is necessary to resolve the problem. They all
claim to kill germs instantly without the use of water and are sold just
about everywhere.
I know it sounds to easy…… but give it a try. Hope it helps!!
John N. Billock, C.P.O., Clinical Director
O&P Rehabilitation Engineering Centre
700 Howland-Wilson Road, SE
Warren, Ohio 44484
Voice: 330-856-2553
E-Mail: [email protected]
In a message dated 98-07-24 09:33:54 EDT, [email protected] writes:
<< 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. >>
