Transradial Prosthesis

Finished with our transradial project. It went well, my patient was able to don and doff the device without pain and the terminal device was positioned correctly for use. My patient was late for the check out/presentation fitting so I was unable to complete the figure eight harness and Bowden cable customizations. I will have to practice that some, but I feel comfortable with the theory. One interesting aspect however was the caregiver's interaction with the patient and expectations of the device, the patient stated that the device fit well and would work that it was a little bit painful on donning. Because the patient was wrist disarticulation amputee, the distal end of their residual limb was a little bit bulbous. The effect of this shape meant that it was a little difficult getting the socket on but that it would have a little better suspension there although the end shaped would not be ideal for any real load bearing. The patient's caregiver however wanted the socket modified so that there would be no discomfort while putting on the socket this modification would sacrifice suspension to relieve a slight pain felt when putting the device on. While I didn't want to cause the patient pain, it seemed except able for the device, which felt comfortable while the patient was wearing it, to be just a little tight while donning. It seems that this is a issue that falls between patient management and clinical decision making.