Thursday, May 19, 2022

Very short Trans femoral


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

[email protected]


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