Article

The effects of Seal-In X5 and Dermo liner (Ossur) on suspension and patient's
comfort in lower limb amputees are unclear. In this report, we consider the case
of a 51-yr-old woman with bilateral transtibial amputation whose lower limbs were
amputated because of peripheral vascular disease.
The subject had bony and
painful residual limbs, especially at the distal ends. Two prostheses that used
Seal-In X5 liners and a pair of prostheses with Dermo liners were fabricated, and
the subject wore each for a period of 2 wks. Once the 2 wks had passed, the
pistoning within the socket was assessed and the patient was questioned as to her
satisfaction with both liners. This study revealed that Seal-In X5 liner
decreased the residual limb pain experienced by the patient and that 1-2 mm less
pistoning occurred within the socket compared with the Dermo liner. However, the
patient needed to put in extra effort for donning and doffing the prosthesis.
Despite this, it is clear that the Seal-In X5 liner offers a viable alternative
for individuals with transtibial amputations who do not have enough soft tissue
around the bone, especially at the end of the residual limb.

Langue : ANGLAIS