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Adaptable
United States
Registrace 20. 06. 2020
Sharing the bits of knowledge I've gained about navigating life as a below-knee amputee.
Whether you're already an amputee, someone facing amputation, or friends and family of amputees, I'll share everything I can to help you navigate amputation with the knowledge to ask the right questions and make more informed decisions.
Whether you're already an amputee, someone facing amputation, or friends and family of amputees, I'll share everything I can to help you navigate amputation with the knowledge to ask the right questions and make more informed decisions.
Prosthetics & Suction Suspension Systems
Suction is one of the simplest suspension options for prosthetics. For general durability, suction is hard to beat, but the outer sleeve adds weight, and restricts movement due to the extra material. The sleeves also have to be replaced regularly because they'll eventually wear out and get a tiny hole, and even a pin-size hle means they won't be able to maintain suction which results in a pistoning effect with your socket and residual limb.
While most prosthetic supplies like liners can be replaced via insurance every 6 months, sleeves are generally eligible to be replaced whenever they're needed. Adding a gaiter or inner sleeve to go betwen the socket and outer sleeve can help reduce friction and extend the life of your sleeves, but at some point they will still wear out. In a pinch, duct tape can be a short-term solution to fix a small hole, but it will quickly wear out. For me, that's meant needing to bring more spare parts on trips when I relied on suction. If a sleeve got a hole in it mid-trip, I'd be in a tough spot without a backup, and since they're thick rubber, they definitely add extra weight when packing.
In my experience, one of the biggest benefits of suction systems is the overal fit and security. As long as there isn't a hole in your sleeve, they stay on snugly. However, due to rolling the sleeve up and down, suction systems are the most difficult to quickly take on and off. It's not horrible, but it's definitely not as simple as with a pin system.
For what it's worth, I've started using a sleeve with my hybrid pin/vacuum system so my leg is currently taking advantage of all three types of suspension. While most of my old sleeves have holes in them, the vacuum system helps ensure that's not a significant problem like it would be with pure suction. Using all three types means more time to take it on and off, but it's the most secure system I've ever used by far.
Editing by Kap:
madebykap.com
While most prosthetic supplies like liners can be replaced via insurance every 6 months, sleeves are generally eligible to be replaced whenever they're needed. Adding a gaiter or inner sleeve to go betwen the socket and outer sleeve can help reduce friction and extend the life of your sleeves, but at some point they will still wear out. In a pinch, duct tape can be a short-term solution to fix a small hole, but it will quickly wear out. For me, that's meant needing to bring more spare parts on trips when I relied on suction. If a sleeve got a hole in it mid-trip, I'd be in a tough spot without a backup, and since they're thick rubber, they definitely add extra weight when packing.
In my experience, one of the biggest benefits of suction systems is the overal fit and security. As long as there isn't a hole in your sleeve, they stay on snugly. However, due to rolling the sleeve up and down, suction systems are the most difficult to quickly take on and off. It's not horrible, but it's definitely not as simple as with a pin system.
For what it's worth, I've started using a sleeve with my hybrid pin/vacuum system so my leg is currently taking advantage of all three types of suspension. While most of my old sleeves have holes in them, the vacuum system helps ensure that's not a significant problem like it would be with pure suction. Using all three types means more time to take it on and off, but it's the most secure system I've ever used by far.
Editing by Kap:
madebykap.com
zhlédnutí: 10 947
Video
Prosthetic Hybrid Vacuum and Pin Socket Suspension Systems
zhlédnutí 19KPřed 3 lety
My current system is a hybrid vacuum/pin system. The pin at the end of my liner clicks into the bottom of my socket for a strong physical connection. You can hear it click, and you know it's on. However, the connection isn't quite as solid as other systems. The result is al little pistoning with every step. With the vacuum seal in conjunction with the pin, there's a little more stability. The p...
Prosthetic Socket & Suspension Parts Overview
zhlédnutí 4,2KPřed 3 lety
A quick overview of basic sockets and suspension parts. Suction, vacuum, pin, and even a little discussion of some other options you may not see as frequently. Not a lot of specific links to offer this week, but here's the various parts and words if you'd like to do more research: Liner-liner Liner Socks Socket Inner Socket Outer Socket Editing by Kap: madebykap.com
Overview of Prosthetic Suspension Options
zhlédnutí 8KPřed 3 lety
Notes & Links: There's an increasing number of options for suspension systems these days. They all have their strengths and weaknesses depending on amputation level, activity level, and activity type. In some cases, multiple types of suspensions can be used together to provide redundancy. Suction: Fewest moving parts, but can be difficult to get the fit just right. The biggest downside is that ...
Prosthetics, Sweat, and Skin Care
zhlédnutí 17KPřed 4 lety
Let's talk about dealing with sweat and prosthetics. What are some options to mitigate sweat, help ensure a better fit, and take care of your residual limb. If you're doing any kind of heavy workout, chances are good you'll want to regularly take off your liner and dump the sweat out. While sweat is unavoidable, there are options to mitigate it. Everyone is so different. Some people may sweat m...
Going to The Beach and Pools with a Prosthetic Leg
zhlédnutí 24KPřed 4 lety
Notes & Links: Not much in the way of links this week. It's really just about the advice and considerations for spending time at the beach, in pools, and hot tubs. 1. Ask your prosthetist about getting an extra socket or using a check socket for the beach/pool. 2. Ask your prosthetist about an extra foot shell that you can glue a non-slip sole onto and drill holes into. 3. Remember to disassemb...
Making Adjustments to a Below-knee Prosthetic Leg
zhlédnutí 32KPřed 4 lety
Notes & Links: Park Tool 4mm Allen Wrench: ~$10 www.amazon.com/Park-Tool-PH-4-P-Handled-Wrench/dp/B000NU2VOK/ref=sr_1_2 Park Tool AWS-3 3-Way Hex Wrench: ~$13 www.amazon.com/Park-Tool-AWS-8-3-Way-Wrench/dp/B000C14J9K/ref=sr_1_6?dchild=1&keywords=park tool allen wrench&qid=1594703956&s=hi&sr=1-6 Bike Hand Torque Wrench: ~$55 www.amazon.com/Bikehand-Bicycle-Torque-Wrench-Socket/dp/B006WRWDWS/ref=...
Shoes, Boots, Flip Flops, Shoehorns, and Prosthetic Feet
zhlédnutí 24KPřed 4 lety
Notes & Links: Hoka One One: Of all the footwear I've tried in the last 7 years (with an ankle fusion and as an amputee), nothing beats Hoka. They're soft. They roll over well. If you forced me to bet on one shoe brand for comfort for the rest of my life as an amputee, it would be Hoka. www.hokaoneone.com Nike Fly Ease: Of all the shoe companies in the world, I'm not aware of any as supportive ...
All About Prosthetic Feet
zhlédnutí 46KPřed 4 lety
Notes & Links: Equipment Grants: www.challengedathletes.org amputeebladerunners.com Ossur Flex Run - This is a running foot. It's considered K4, and insurance won't cover these, however there are a ton of opportunities for grants and scholarships to help pay for these. I got mine through the Challenged Athletes Foundation, but there are many programs. Amputee Blade Runners is another well-known...
The Basics of a Below-knee Prosthetic Leg
zhlédnutí 126KPřed 4 lety
We'll run through the basic components of a suction-based, below-knee, prosthetic leg and how they work. This should lay the foundation to dive deeper into each component, different types of feet and suspension systems, an how to get the most out of a prosthetic leg. We'll get more specific on feet in the future, but if your'e curious about the feet in the video, here are some links: College Pa...
HOW are you bending to get things from the floor like that? And what is that cord? My husband's keeps his knee inside, preventing him from bending like that.
Hi sir Can I contact you on WhatsApp?
You impress me with all the info you've laid out to make it less intimidating for a new amputee. I'm looking forward to my first leg more than ever now. Thank you 😊😊
This is great 👌🏻here’s a few tips that may help - My prosthetist made some pelite foam wedges to help with getting the alignment right with different shoes heights so definitely take those shoes with you to your appointments. wrapping your footshell with a plastic bag or cling film/plastic wrap will help shoes and boots slide on easier. I added a pool noodle to pad out the pylon and adapters from wrecking my snowboarding boots and the plastic bag trick works amazing on snowboard boots 😉 I use velcro to hold my flip flops (just make sure the hook side is on the flip flop and the fluffy side is on the foot shell or havianas stock strapped flip flops. The proflex align is a fantastic adjustable foot for those that like to wear heels Hope this may help 🦿🤗
why do u need to put a shoe on the prosthetic?
Thank you for sharing
Hi, have you tried botox treatment on your stump? I have, and my experience it works very well on sweating on your stump. What it does is that you sweat much less. The treatment you do every 4th month.
I ride English and just had a zipper put in the front of my tall boots. Commonly they have zippers in the back these days but they didn't work well for me. Ariat just released a line of western boots with Zippers especially for amputees. I wear the Ossur ankle that works for wearing heels because it also works for putting one's heel down to ride. Medicare has disallowed it but I've sent in an appeal.
What is the lightest weighted foot ? That’s been my issue It’s been to hard to lift my Prothesis and walk I’m an AK weigh 220 stand 5’10” and active 76 year old woman.
Could you shear me any information of the correct way to use this product.I just bought one ATP 008 which is prosthetic anti-perspirant spray.since it's my first try of this kind product,so I have no ideal how to use it.I should spray it on liner or my stump derectly ?
dude that blade is sickkkk
It's been a couple of years since you made this video, hope things are going well for you. I have been thinking about having such a leg. I had foot surgery 4 years ago and I have been in constant pain and discomfort. Surgeon can figure out why but what you explained has been on my mind just to get some relief..good video, stay well!
Thank you have exact same issues😊
I’m an RBK for 7 years, started with a pin lock then went to a simple vacuum. Time for a new leg. I’m thinking of a socket with an assisted vacuum it’s a Rush foot. Have any other suggestions?
Very nice video. I'm trying to fine-tune my socket and Proflex XC foot. My immediate issue is getting the socket to fit as well as possible. I have the A/P correct, it feels great with equal pressure all along the anterior of the stump. The socket still presses too much medial at the top of the socket. Not sure if the adjustment for this is best found at the bottom or the top pyramid. I'm experimenting & I'll figure it out. Thanks for the info you shared, it helps me understand.
What liner U wearing that rolls up your leg?
Thank you for doing this. It helps to hear it for an actual amputie. I seem to be only getting my info from two legged people.
Hi my name is Glen Eastwood every way I adjust my leg it's like I'm walking strait on my bones and hurts real bad then it swells up and then pus starts coming out what should I do???
I have been 4yrs I still can't walk
Sorry to read that … you can do it ! Keep working hard at it ! :) ❤
Great video men! thanks its very helpful, btw, can you roughly give me a price range for this entire setup? I
Hi, i want to thank you for putting these video out, its very informative and ez to understand. i currently have the same system with my first leg, and my leg has shurnk too much that I have to get a new sucket. i have a short leg limb below knee like you do mine is about 4 inches. and I just watched your hybrid vacuum and pin socket suspension system video, can you tell me which one would you prefer? this or the hybrid? if you got the time to reply my comment I will really appreciate that!!!
I'm a new amputee. I'll be getting my leg of the 30th of this month.
60 year BK amp, I use Pin Lock system with 6 mil thick liners, solves a lot of comfort & Skin related issues.
Does Ossur Pro-flex XC Torsion has smooth walking?
Couldn't you have just used socks to correct the loosness in the socket?
Hi my dad use tochange my mom’s linner for her. He recently passed. How do I get pin/ screw out to change the liner? What tool do I use todo so? At one time my dad showed me and I did it. However, I forgot what tool we used?
Below Knee Amputee for now 60 years, One of the Leg Accessories [Sleeve] I cannot use, it causes me ENORMOUS Skin related issues, better to go to a Vacuum or Pin suspension & eliminate the sleeve & especially in HOT Weather.
Mission gait running
Thank you for your videos - they are so informative. I am a fairly new BK amputee
My prostatic guy said salt water will ruin a prosthetic first time.
I wanna be an amputee so much! anybody have any advice on how I can become an awesome amputee! I hope to have my arm or leg amputated someday soon!
How can I get one, and how much does it cost?
I am a new amputate
Garret I became an amputee on 11-15-23. Can explain more about Sox and how the take up space in the socket. Thank you!
My leg is amputated below the knee but I don't have money to get a shoe.
I use sketchers there great give them a try sir
@@Glen-dv5jq You are doing well. I want to contact you.
Saya sangat menginnginkanya..tapi saya tidak mampu untuk membelinya Saya pun amputasi kaki kanan di bawah lutut...
Thank you for this. Getting my first one in about two or three weeks, and with the rough year I've had so far, I'm hoping it will be the easiest part of the transition.
I have lived with a crushed ankle for over 30 years and had it fused 20 year ago. Contemplating BKA. Trying to learn. . .I have thought about it off and on for 20 years. . . And the thought of running again would be awesome. If people have "warnings" I'm open to hearing.
I just got a prototype prosthetic leg to use before I get my permanent one. are you supposed to feel pressure on the lower inside of your knee when you use it? sometimes I feel pressure & if I use it for a little bit it starts to feel like pain. also, I can feel it hyperextend my knee at times.
I want to see how you walk.
Lbk 40 years now. I have a viscous ball for torque, and a multi axis ankle. Carbon fibre foot, split toe. Socket is fibre glass with an ACL generation 2 brace integrated into the socket. Insurance through work (retired now at 62) pays for everything. To be totally honest, socket design is the bane of my existence. Osteointegration just isn’t for me, esthetically ..I just can’t accept it and structurally , including load profiles, it just seems like bone failures could become the norm. Leakage around the connection on the distal end of the residual limb would be unacceptable in intimate situations. I apologize to anyone who feels otherwise. Again, some sort of pneumatic or liquid filled liner adapting dynamically to changes in weight and/ or residual limb variations in dimensions would make it a perfect socket fit and would be golden to me!
I’ve got a question I’m really curious about. Is it possible to wear, like, knee-high boots with a prosthetic leg? Since most have a side-zip, getting them actually on might not be too difficult, but would the actual height of the boot be an issue? And would it make a difference depending on whether the boot was also lace-up or not?
Please hilp me
Hi I'm disable I need artificial leg please hilp me
Thanks for this video my friend, I'm having my leg amputated below the knee the left leg soon, my hospital the NHS England UK will only give me a basic leg, I looked at the price range, they can cost me a few thousands Thanks for sharing Really helpful...
Hey brother how are you doing I've been watching the bills my first lost my first leg the other day now I've lost in my left one below the knee what would be the best
Best company to go with since I got a chance cuz I just got Medicare and they have to make both legs again so I'm like to be able to move around and hiked all around lake what should I have please be truthful
The try to give me the same ones as last time I want to be able to hike do everything what's the best ways I can't afford a lot so hopefully this gets covered truthfully the first one hurt so bad always and have you tried the Martin give me some advice please soon please soon as you get this I got to go see doctors tomorrow about which one I'm going to go with and then just going to throw it in my face and make me take what they want to give me I want to be able to make a decision I want to be happy I want to be proud to be a man I want to feel like a man again it's getting really tough for me I never thought twolegs would be so much worse almost bike tomorrow I have to see one of doctors I appreciate you my name is Don kucharski
Well I’ve had my prosaic for around 6 months now a lot of the time I’ve had trouble getting in and out of the bathtub so I just kept using those packs of wet wash cloths like they use in the hospital they are made of coconut fiber so instead of just tossing them in the trash just wash them out and reuse them they last a long time you can also get the coconut fiber in rolls like paper towels they are a little bigger. Anyway I was getting broken out from the stuff on them several years ago I was having problems with my skin and also smelling bad I was doing a lot of heavy work outside with machinery and was bundled up usually with 2 to 3 layers of Levi’s pants and jackets and would sweat quite a bit during the day the thing I found that worked the best was apple cider vinegar I fill up a spray bottle around 1/4 to 1/3 of vinegar then fill the rest with water. After a bath or shower I will spray under my arms and between my legs with this it eliminated all of the complaints about me smelling bad and none of the problems I had had with deodorants plus it is a anti-fungal and kills bacteria after losing my leg I will spray the inside of my liner and wipe it down with the vinegar spray and do the same with my stump also a couple of times a week I will just use the coconut towels with about a tablespoon full of rubbing alcohol on it and wipe down my liner and stump which they told me to do a couple of times a week anyway. I haven’t found any of those socks you were talking about but when it’s been in the 90’s and above I’ve been wearing my Shrinker sock underneath the silicon liner it’s a little tight but I don’t seem to hardly sweat this way instead of a half cup of sweat it is barely damp when I take off my prosthetics and it dries in just a few minutes way different than having to mop up all the puddles then trying to put your leg back on again. Give the vinegar water a try it doesn’t mess up your skin it’s cheep and the smell of the vinegar is gone in a couple of minutes way faster than the deodorants and they’ve been using this for thousands of years I was surprised to find this out I’m guessing you can’t sell deodorants if you tell people how people use to do thing’s before in France they would just spray perfume on but nobody else did that 😄👍
Get yourself an extended shower chair. It goes over the side of the tub & is quite easy & safe to use. Your insurance should cover the cost.
hi, have you tried the C161 Triton with vertical shock system from Otto Bock? The one you are wearing with vacuum system, what foot is that? Can you wear without sleeve?
Rbd ❤you ❤❤you ❤
Hey, I am French and live in Sydney Australia. I felt from 7 meters in 2019 and my ankle is sooo painfull since. I had 4 surgeries and ankle fusion but I consider amputation because I have so much pain that I can't walk much. Everybody tells me its crazy but I Think my quality of live would be better with a prothesis