Just thought I’d throw this one at you. I have a patient with a very short
AK – residual femur is two inches (50mm). Soft tissue residuum creates a
flabby stump which is, as you can imagine, very difficult to stabilise.
However, the patient has walked very successfully on a quad-socket pattern
with pelvic band suspension for close to thirty years. Recently, he is
looking for a system which will avoid the socket loosening, constant
adjustment that he is forced to carry out (with the usual air expulsion
noises) and skin abrasion. He will not consider surgical fixation or
removal of his residual femur and was frightened off Canadian Hip
prostheses because he has only ever seen those of forty years ago. His
present gait, although very successful and functional, is atrocious; he is
a fit and normally active fifty year old.
What about custom silicon suspension methods? TEC liners?
Richard Ziegeler P&O
