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Author (up) Mitton K.; Kulkarni J.; Dunn K.W.; Ung A.H.
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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