Monday, June 23, 2008

Preparatory Prosthesis

The patient is in the office today for final fit and delivery of his preparatory prosthesis. The device fit very well. We achieved a 3-ply fit. He was able to hold suction quite well. He understands sock ply management. He understands that if there are any irritations to the limb, he should contact us immediately for adjustment. The patient walked quite extensively in the office utilizing his prosthesis. At today's visit, as expected, he is slightly hesitant on weightbearing on his prosthesis. I expect that this will resolve over time. Additionally, he noted after ambulating quite significantly here in the office he was sore in the hamstring area. I felt that this was due to stretching them out. I feel as though in 2 weeks he should be ambulating without crutches. He ambulated in the parallel bars and out utilizing forearm crutches. He also went up and down steps here in the office. I feel very comfortable with the fit and function of the patient's prosthesis. He noted no discomfort. All bolts and nuts were Lok-Tited and torqued to manufacturer's specifications. I provided him with 6 single ply and 6 multi-ply socks with two 3-mm suspension liners and 2 silicone gel liners. We will follow up in 2 weeks for further adjustment.

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