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Good Day All, Met with a 52 y/o lady this morning who is undergoing a L-transfemoral amputation d/t diabetic wound & osteomyelitis of the ankle.  Complication:  Long standing Elephantiasis of the LEs; L much worse than R.  Her knee is not infx'd, but the surgeon is going AK d/t  the enormity of her calf (circumference: 32")  & the long term skin-structural anomalies. She claims the lymphedema has never been an issue in the thighs & they appeared WNL for a 6', 300 lb female.   She is very motivated & has been ambulatory w/o assistive device until infx worsened.  Just wondering if anyone has worked w/this condition post amputation?  Liners?  Suspension?  Considerations outside the norm?  Thanks for the input & have a great weekend. Rick    Rick Milen, CPO, PTA NEXSTEP, Inc. Prosthetic Specialists West Lawn, PA http://www.iwalknexstep.com/