We recently had the opportunity to work with a fairly new below the knee amputee. After multiple prosthetic devices and ineffective sockets he contacted LIM Innovations who referred him to us. He came hobbling in with a very sensitive residual limb and we were able to cast and fit him for the new LIM Innovations TT socket. This socket features multiple adjustments including the Boa system for easily adjusting the overall tightness of the socket, two air bladders to adjust the fit and comfort of the socket and multiple adjustments that the prosthetist can make for overall fit and comfort. Both the patient and I were happy with the outcome and for the first time since his amputation the patient was able to walk without a walker or cane. If you have some gadget tolerance and don't mind a little bit of additional weight the new LIM Innovations BK socket is great.
Most recently we were contacted by a workers compensation lawyer to help a client of his. A young man was left a hip disartic amputee after a tragic accident. After speaking with the workers comp lawyer and assessing the patient we were sure we could help. We worked with the lawyer to come up with a prosthetic treatment plan including lifetime costs. This way both the lawyer, and the client had a very clear idea of what we were looking at over the lifetime of the client. With the client being so young we wanted to get him into something for high activity level. The patient was fitted with OttoBocks newest Helix hip joint, C-Leg X3 and a carbon fiber Trias foot. Hip Disartic's often find it very hard to walk but after very little time in the leg we had the patient standing comfortably and walking shortly thereafter.
The most recent trend in Prosthetic design has been comfort. With a host of new materials at our finger tips and patient's constantly asking for more comfortable sockets we have worked our way to the hyper flex prosthetic socket. Using a super flexible inner socket material and a very rigid frame we developed a socket that offers great control with unbelievable comfort. After several trials we did find that these ultra flexible socket did have a downside, they soft inner material was very susceptible to stretching or heat forming over time. another problem we ran into is some users admitted they had a little too much movement at certain points in the gait cycle.
Using straps placed in very specific locations we were able to limit the amount of motion the user felt and also prevent the stretching or deformation of the soft material. Time after time users come back blown away by the results. Wounds are healing up, chronic limb pain and achiness disappear. Users are coming back telling us that before they may only be able to wear a socket for a few hours and now they don't take their prosthesis off all day. The results are astonishing and we are cranking these out. For above knee, transfemoral patients and below knee transtibial patients looking for a socket that is more comfortable please come see us for a free consultation.
We just had Martin Bionics drop by the office for a quick class on the new Martin Bionics socket system. The ingenious system uses a "Jig" style unit that we first get the patient setup in. Once the patient is comfortable in the walking jig they go home. That is when we start with getting the slimmer finished Martin Bionics system all finalized. A few days later the patient comes in and we are all set. This modular style prosthetic design is becoming increasingly popular and a great option for many amputees looking for an alternative to standard rigid style sockets.
A long time patient of O'Connor Orthopedic came to us for an alternative style socket. In the past the patient has been in rigid quadrilateral sockets, flexible brim ischial containment sockets, and even sub-ischial elevated vacuum sockets. Each new socket had always been an improvement over the next but he had still never had anything that he truly loved. He came in with interest in the LIM socket but due to his small stature we did not have enough room. We set out to design a soft flexible inner socket using suction with a small rigid outer frame and an adjustable brim.
The resulting socket is very flexible around the brim for ultimate comfort and during sitting. Likewise the flexible material allows for great suction and distal comfort while the rigid frame gives just enough support for total control. The patient has been wearing the new socket for over 2 weeks and is saying it is the most comfortable socket he has been in yet.
We recently got a call from a middle aged guy who was seeking help. About five years ago this patient lost his leg in a motorcycle accident. His initial fitting was apparently really good and he had great luck in his first prosthesis. After getting back into the swing of life as an amputee he dropped a lot of weight and that is where everything went horribly wrong. His limb atrophied down and he started to have severe pain and discomfort combined with wounds and sores on his residual limb. After seeking help at a variety of prosthetic clinics he was put in touch with us and we moved forward with a LIM style socket. Unfortunately his insurance dug in their heels and refused to authorize anything. We fought and fought for over 4 months before getting the denial overturned.
Within a month of getting the denial overturned we had the patient in a new LIM Innovations socket and as you can see he is ecstatic. This patient is in an Ossur X-5 seal in liner wth a C-Leg and OttoBock foot underneath that. The LIM socket is a knee disartic style socket with a soft inner cup and expulsion valve. This system has incredible suspension and the patient is very happy.
This was a very fun system to build. We recently had a young man find us online who came in to speak with us and decide if we were the correct fit for him. After a quick assessment the patient conveyed to us what he was looking for and we were able to take a look at what was going on. The patient was a young congenital amputee with a very short residual limb. His current prosthesis was just too big, and he complained it was too heavy. With such a short stump we decided upon elevated vacuum and a soft inner EMS style socket that will give the patient great suspension and proprioception. Underneath that we did an integrated expulsion line that comes out mid pylon and into an OttoBock Trition series foot. The patient is a full time nurse and is on his feet all day. We are looking forward to hearing how well it works for him.
We love being involved in the latest and greatest technology such as OttoBocks X3, and Bebioinc hands but more often than not we are asked to fabricate a prosthesis for a patient who is just the average K2 ambulator. For those who do not know all amputees are categorized into a K-Level, K2 being an average ambulator who can walk at a single speed but can overcome obstacles of daily living such as a curb or small ramp. Recently we were approached by an elderly gentleman who had lost his leg years ago and has had a few prosthetic legs but none work. His complaints were that they were all too heavy and were just not comfortable. We worked with his insurance who would only allow for K2 components and an essentially simple prosthetic. We settled on a total OttoBock system using the 1M10 foot and Pheon 3R62 knee joint. These simple parts combined with a flexible inner socket, rigid frame, some unique trim lines and a simple ratchet system gives a very stable leg that is also very comfortable and adjustable.
Before shoving off to med school down in the US Virgin Islands a patient came knocking. His request was simple, build me an arm worthy to get me through med school and make it look as futuristic as possible! A long transradial amputee, with a successful history of prosthetic use. Using the new Bebionic V3 small prosthetic hand, new flexcell batteries, and an anatomically suspended socket we were able to get this arm built in less than a month and get our patient off to med school. Good Luck!
As much as we love doing prosthetics all day we are often called to create unique orthotic devices as well. This post polio patient came to us in the hopes of help. After years of polio taking it's toll on his body his legs were falling apart. His left leg suffers from drop foot and he has ankle pain so a simple Allard BlueRocker was fit to assist him. His right side was a little more complex. Due to the patient's size and weight we had to figure out a way to hold him up, give him stability and not allow the brace to crumble underneath him. Using a new carbonfiber plastic hybrid material, american steel, and some ingenuity we crafted a lightweight yet extremely rigid KAFO.
O'Connor Orthopedics & Prosthetics is not only committed to helping our patients in the office but also assisting orthotic and prosthetic users around the world stay up to date on the latest and greatest.