A recent publication73 described how these technologies can be used, individually and in combination, to help to resolve long-standing residual limb health issues.
Case Study 1
One case described a 41 year old man with a traumatic trans-tibial amputation. He was a keen jogger but had problems with sweat building up in the scarring on his residual limb and causing blisters. If he jogged two days in a row, he would be in too much pain to use his prosthesis at all on the third day. Surgery was scheduled to revise the scars, in anticipation that this would help with the problem. He was fitted with a Silcare Breathe perforated, pin-lock liner and within a month he had noticed that there was much less sweat on his limb after jogging and the blistering has started to resolve. After three months, the blisters had entirely healed and he had cancelled his surgery.
Case Study 2
Another case described a 45 year old man who also had a trans-tibial amputation and was keen to return to his previous active lifestyle. He regularly took part in motocross racing but he had developed a large ulcer on the back of his residual limb. He was advised by his dermatologist that the only way that it would heal would be to stop using his prosthesis for up to 5 months. His prosthetist decided instead to recast him with a Silcare Breathe perforated liner and he immediately saw the benefit. After a month, the ulcer had visibly shrunk and was being kept dry. After 13 weeks, it had healed completely.
Case Study 3
The final case reported was that of a 50 year old, trans-tibial, K2 activity level amputee. He had experienced ongoing skin issues for approximately eight years, including skin maceration and infection. He was considering revision/further surgery to resolve the issues he had been experiencing. He began using a Silcare Breathe perforated liner to keep his skin dry and after a year he combined it with EV suspension and a hydraulic ankle. Following a further three months’ use of this combination, the drier environment, coupled with reduced interface pressures and stronger vacuum, produced a massive improvement in skin condition.