I have been asked to provide a prosthesis for a seventy-year-old female
who sustained a transtibial amputation as a consequence of complications
following a total knee replacement. The knee itself appears to be
satisfactory, and the patient is pain free and has normal knee range of
motion, without contracture. There is modest anterior scarring from the
knee surgery. The patient is, incidentally, on kidney dialysis.
I propose to use a pressure-cast ICEROSS fitting so as to minimize
socket pressure in the patellar tendon area, but I have not previously
fitted a prosthesis on a limb which has had a total knee replacement. I
would appreciate comments from anyone who has had experience with this
type of case, or who has suggestions to offer.
Charles Martin, CPO
