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Author (up) Mitton K.; Kulkarni J.; Dunn K.W.; Ung A.H. url  openurl
  Title Fluctuating residual limb volume accommodated with an adjustable, modular socket design: A novel case report Type Journal Article
  Year 2017 Publication Prosthet. Orthot. Int. Abbreviated Journal  
  Volume 41 Issue 5 Pages 527-531  
  Keywords adult; amputee; case report; complex regional pain syndrome; edema; female; human; limb; male; prosthesis design; rehabilitation  
  Abstract Background: This novel case report describes the problems of prescribing a prosthetic socket in a left transfemoral amputee secondary to chronic patellofemoral instability compounded by complex regional pain syndrome. Case Description and Methods: Following the amputation, complex regional pain syndrome symptoms recurred in the residual limb, presenting mainly with oedema. Due to extreme daily volume fluctuations of the residual limb, a conventional, laminated thermoplastic socket fitting was not feasible. Findings and Outcomes: An adjustable, modular socket design was trialled. The residual limb volume fluctuations were accommodated within the socket. Amputee rehabilitation could be continued, and the rehabilitation goals were achieved. The patient was able to wear the prosthesis for 8 h daily and to walk unaided indoors and outdoors. Conclusion: An adjustable, modular socket design accommodated the daily residual limb volume fluctuations and provided a successful outcome in this case. It demonstrates the complexities of socket fitting and design with volume fluctuations. Clinical relevance: Ongoing complex regional pain syndrome symptoms within the residual limb can lead to fitting difficulties in a conventional, laminated thermoplastic socket due to volume fluctuations. An adjustable, modular socket design can accommodate this and provide a successful outcome.  
  Address J. Kulkarni, SACM, University Hospital of South Manchester, Manchester, United Kingdom  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1746-1553 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number refbase @ admin @ Serial 17127  
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