Thursday, May 19, 2022

Lisfranc amputation

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

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