Welcome to our new home at oandp.com

by Jon Batzdorff on Wednesday, November 11, 2009 11:11 AM

The Elevated Vacuum Blog has been adopted and is now moving into her new home at www.oandp.com. She is very excited to be among friends and family. For those of you who don't know her yet, let me do the introductions. The Elevated Vacuum Blog is an interactive website within oandp.com that allows users, teachers, researchers, patients, prosthetists, manufacturers and others to ask, answer or share thier stuff. I will provide the basic content, but the more you use the site, the more exciting and useful it is. So... Welcome!!!....... and keep checking in as content is added, post by post and page by page.

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Comments

Jon, <br /> <br />I would love to see some discussions on the various approaches that people have taken to secure the vacuum seals to the inner sockets.&nbsp;&nbsp;It seems as if tape has been the norm, and you know how messy and sticky that gets.&nbsp;&nbsp;Also, what type of seals have been working out best for clinicians?&nbsp;&nbsp;I would also be interested in seeing some sort of gait study discussed and performed in the arena of TF fittings with the elevated vacuum systems.&nbsp;&nbsp;What sort of compromises are we making?&nbsp;&nbsp;Or are we?&nbsp;&nbsp;The low brim styles leads to a lot of lateral motion of the socket on the limb in a lot of cases with individuals with less dense muscle tissue. What have other practitioners done to address that?&nbsp;&nbsp;Has there been a return to a higher posterior medial aspect of the outer socket frame to try to capture some of the ischium?&nbsp;&nbsp;Thanks for working on the blog!&nbsp;&nbsp;Hopefully we will see some interesting discussion along the way.

by Paul E. Prusakowski, CPO, FAAOP on Saturday, December 05, 2009 5:09 AM #

Paul, <br />You make lots of good points in your comment and I think discussion is needed in all these areas. I would argue with the statement that &quot;The low brim styles leads to a lot of lateral motion of the socket on the limb in a lot of cases with individuals with less dense muscle tissue.&quot; It would seem that way theroetically, but clinically there is not such a direct correlation reported. Many (myself included) have reported that they have been able to lower the trimlines of the outer socket to below the ischium in a socket with good elevated vacuum and observed no loss of stability, and no lateral shift. No published studies have explained it. That being said, we do not typically lower the trimlines on very short residual limbs, regardless of the musculature. <br />I would also like to see what others have to say on these questions.

by Jon Batzdorff on Saturday, December 05, 2009 12:29 PM #

So are there any other methods besides tape used to secure a vacuum sleeve to the out side of the socket?

by RWO on Wednesday, February 03, 2010 5:23 PM #

I am a BK amputee and have fallen in love with the elevated vacuum socket systems.&nbsp;&nbsp;I am currently using the Harmony HD and am planning on trying the LimbLogic here shortly as I prepare to be deployed with the military. <br /> <br />I am curious as to why the socket trimlines are being lowered?&nbsp;&nbsp;My only guess is that it is to protect the sleeve from a shortened life span due to the wear and tear accompanied by a higher trim line and elevated vacuum...is this right?

by Tim G. on Monday, February 08, 2010 7:03 AM #

Hi, The topic that you have discussed in the post is really amazing, I think now I have a strong hold over the topic after going through the post. I will surely come back for more information.

by Stampa online on Monday, May 02, 2011 2:01 AM #

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