Was asked to see a young man in his late twenty’s, slight of build, around 130
lbs, with a Lisfranc amputation with minimal scarring. He is presently
starting on his second slipper type prosthesis with in slightly more then one
year.
The slipper type prosthesis is molded leather with soft insert, anterior
lacer, rigid non flexible steel shank, and toe filler. He continues to have
the same problem as with the previous device of forward rotation in the
appliance and breakdown of anterior distal part of the remaining foot.
I am giving consideration to fitting him with a Ortho-Prosthesis (my
colleagues in Europe are more familiar with this term) of an AFO combined with
a toe piece and filler. This concept in fitting was also presented by Gunter
Gehl, C.P. of Northwestern a few years back.
I would like to know of other experiences with this type of amputation and
problem.
Respectively,
Al Pike, C.P.
http://www.usinternet.com/users/AlPikeCP
