Sunday, May 29, 2022

Elastoplast use for IPOP’s

Have recently been requested to do an immediate post-op prosthesis

utilizing Elastoplast. This patient is a 46 year old gentleman,

approximately 6’2″ and 230 pounds who originally required amputation surgery

in February following a motorcycle accident and is now undergoing revision

surgery to clean up the residual limb, close up a large non-healing area

posteriorly, and make the residuum more appropriate for prosthetic use.

Hyperbaric treatments have been unsuccessful. Patient is also an

insulin-dependent diabetic on dialysis.

I have done numerous IPOP dressings in my career, and I am very familiar with

Elastoplast. The physician is an excellent orthopedic surgeon and this will

be my first opportunity of working with him. Admittedly, I did not want to

appear misinformed when he asked me if I could obtain Elastoplast and use it

for the “weightbearing IPOP”.

But am I missing something???? Since Elastoplast obviously must be used in

conjunction with some other material in order to obtain a rigid socket, what

purpose does the Elastoplast serve? Should it be used for the original wrap

over the sterile sock and with the intention of providing the compression??

If so, isn’t it rather difficult to work with in that context? I had

intended to do a fiberglass cast originally before this “wrench in the

machinery” so to speak.

Time is of the essence in this situation, but if anyone has ever used

Elastoplast in this context or can give me any insight into this type of

situation, I would greatly appreciate it. I know I could always break down

and just ask the surgeon what he had in mind but, let’s face it, what fun

would that be!!

Will be happy to post subsequent responses (provided I can figure out

how–computers are admittedly not my thing).

Thank you all in advance.

RSD, CP

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