On Sat, 25 Apr 1998 09:07:47 EDT OrthoWoman
>I have a 45 years old male bilateral ak due to veinous insufficency,
>The
>right residual limb is 8″ and the left is extremely short 2-4 “. The
>patient
>is in good health other wise and he has the desire to walk again. I
>know this
>is a very difficult case and the patient is working hard in P.T. to
>reduce his
>hip flexion contratures, 20 on the right & 30 on the left. My
>question is ,
>what are his chances of getting him up again and what would be the
>best
>socket and suspension design? I wass thinking Iceross shuttle lock
>on the
>right but I’m not sure about the left. Also, would it be better to use
>Total
>knees on both or standard safety knees? Any suggestions on how to
>manage this
>case would be greatly appreciated.
>
>Bernadette B. Douroux, C.O.
>
I have had good success with Iceross on medium-short AKs but the shuttle
lock didn’t work because the tissue is too soft. I attach a 1” velcro
strap to a D ring soldered to the Iceross screw end, run the strap
through a distal slot and up through a chafe on the ant. socket. This
works very well. If this is difficult the Ossur lanyard and cleat work
well too. On the very short side I would suggest NML socket with socks
and waist belt. You will probably have to use bilat. waist belt and
joints anyway to achieve good control of rotation and swing. I have a
patient that uses this setup and walks quite a bit.
Lane Ferrin CP
