prosthesis, preparatory, endoskeletal, PTB insert, distal end pad, cuff suspension, and SACH foot.

This is a 54-year-old black male who had his left BKA done in August of 1996 secondary to insulin dependent diabetes mellitus and peripheral vascular disease. This began by having his small toe amputated in 1993, he then went on to have his great toe amputated in January of 1996. This failed to heal and osteomyelitis set in. At that time he also began having problems with his right foot. He went on to have his amputation in August. He has a Charcot foot on the right side. Patient denies any problems but does wear an orthosis on this side attached to a shoe. This is not a custom molded shoe but does have a molded insert. He has in addition to the amputation hypertension, congestive heart failure, and proteinuria. He takes Lasix and Capitril. He takes approximately 7-8 other medications but does not recall their names. He has had knee and foot surgery done to his right side to correct problems. He has had eye surgery done bilaterally. He has had a lumbar laminectomy. He has had bilateral rotator cuff surgeries. He states that the left has failed. He has had heart catheterization which revealed no blockage. He had a penile prosthesis installed which became infected and had to be removed. He also has mild right hemiplegia secondary to a stroke which he suffered in March of 2006. He is wheelchair and scooter mobile and does not ambulate using a walker or crutches at this time. He states that the stroke has limited his ability to balance well.
Fabricate a left PTB temporary prosthesis with soft insert and SACK foot and cuff suspension made of ultra lightweight construction.
Cast and measurement today.
Approximately 2-3 weeks for a return visit and fitting.