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prosthetic training for BKA
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prosthetic training for BKA - January 3, 2005 8:25:00 AM
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christine peterson 001
Posts: 1
Joined: January 2, 2005
From: west michigan
Status: offline
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Hi,
I am networking for those with experience dealing with complications in prosthetic training. Specifically, I need advice with how to prevent fluid blisters from developing at the old wound site once weight bearing is resumed.This BKA is five years post and alternative prosthetics have been trialed that take the weight off the end of the stump, yet the site remains vulnerable to fluid build-up. Wound care staff list pressure and shear as the cause, but I'm suspecting something else. Could this be a proprioceptive response? What have you found to be successful P.T. in assisting the transition back to weight bearing. This pt. has been nonweight-bearing and restricted from donning the prosthesis for six months due to wound care precautions.
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Re: prosthetic training for BKA - February 8, 2005 1:14:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
Status: offline
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I have somewhat limited prosthetics experience, but here goes...
I would agrtee with the wound care staff that pressure and shear are the culprits. I know that is the accepted mechanism for fluid blisters, and I would think that managing that would be helpful.
That may consist of different socks or even using thin felt or "moleskin" to unload the blister area...???
Being NWB that long might translate to a longer progressive workup until able to be FWB...
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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