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FordGuy48

OttoBock Triton Harmony

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On 12/3/2016 at 6:35 PM, FordGuy48 said:

Okay, over a month and a half now with this issue, in the process of getting a new socket made, had the cast for the liner two weeks ago, have to go Wednesday to cast the socket around the liner. I'm beginning to wonder if the soreness I'm experiencing is coming from the urethan liner, Thinking back, I have always had some skin issues on the distal end of my stump since using the Harmony, things like an occasional burning sensation when the liner is on. I think I'm going to try and wear a sheath inside the liner and see if that helps. I'm also wondering if my stump has changed gradually, and if so, a new casting might be the thing. I thought this had come on suddenly, but thinking back, over the past year, I have had some issues on the end, I know it the liner sticks to the distal end, even if I use the lotion OttoBock sends with a new liner, Hmmmm? Anyone have thoughts on the urethane connection?

Oh, and by the way, the new Harmony liner I've been using for just 3 weeks, is already getting some cracks in the bottom, perhaps they had an issue. Oh, and the sheath was a bad idea, LOL, actually hurt.

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On 11/12/2016 at 2:09 AM, cherylm said:

Hope things went well with your Hanger visit.  This whole liner/socket sounds like a set-up that might be better off just being recast and replaced.  I had one socket in my life that was simply a disaster right from the start...we made dozens of adjustments and tweaks, and it never was right.  We just kept at it until my insurance decided that enough time (a little over a year) had passed and they authorized a complete recasting and new socket. 

In my case, a big part of the problem was that I was just feeling generally overwhelmed and depressed at the time, and I was just too darned tired to bother talking to my leg guys about yet another socket.  "You're the experts...just make it work" was my attitude........and I paid dearly for that!  Once I got my head back on straight and started communicating again, the replacement socket was a success.

So hang in there and keep at it until you get a leg you can wear and walk in comfortably!

cherylm, I went today for casting for my new socket, around the new liner I was cast for. I just remembered something chatting with the tech, he said everybody has changes in shape, no matter how long they've been an amputee, and when I was wearing a PTB, I'd get sore on the end, and the solution was always to remove the silicone pad in the leg, and pour a new one, which I would step into the socket, and it would set up to my shape, and that fixed this stuff. Too bad the only way to do that with a Harmony, is to cast a new liner, sure would have fixed this right away. It's been 10 years since I used a PTB, I hadn't thought about that in a long time! How we forget things! LOL.

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On 12/7/2016 at 8:04 PM, FordGuy48 said:

cherylm, I went today for casting for my new socket, around the new liner I was cast for. I just remembered something chatting with the tech, he said everybody has changes in shape, no matter how long they've been an amputee, and when I was wearing a PTB, I'd get sore on the end, and the solution was always to remove the silicone pad in the leg, and pour a new one, which I would step into the socket, and it would set up to my shape, and that fixed this stuff. Too bad the only way to do that with a Harmony, is to cast a new liner, sure would have fixed this right away. It's been 10 years since I used a PTB, I hadn't thought about that in a long time! How we forget things! LOL.

Well, I got my new socket yesterday, and it's feeling pretty good so far, I'm really optimistic now! 

IMG_2318.jpg

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Sorry I've been out-of-touch lately...I've just gone through a major revision surgery on my stump.....lost about 2" of bone and a whole lotta excess tissue due to a nasty fistula that was housing a "small and mostly inactive" colony pf MRSA.  Back home and healing now, so I'll soon be starting casting for my own new socket.

Are you still doing well with your new leg?

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7 hours ago, cherylm said:

Sorry I've been out-of-touch lately...I've just gone through a major revision surgery on my stump.....lost about 2" of bone and a whole lotta excess tissue due to a nasty fistula that was housing a "small and mostly inactive" colony pf MRSA.  Back home and healing now, so I'll soon be starting casting for my own new socket.

Are you still doing well with your new leg?

Oh, that sounds like you've been through an ordeal, hope things work out good for your recovery! Yes, this leg is doing good, still a little adjusting to it, as is normal for a new socket for sure, I'm just experiencing some tightness, it will be two weeks Friday. This has taken care of the trouble I was having so far, (I've actually been able to walk through WalMart), but I'm sure it will be fine.

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Hi there, over two months now with this new socket, and it's going great, feels really good! I'm still having some minor issue with maceration on my distal end, but honestly don't think i can do anything about that, since it's always warm and moist in the liner. Doesn't hurt or anything, just looks funny. I tried using an anti perspirant before, but that seemed to make it even whiter looking! Anyway, this socket feels way better than my previous ever did! Knock on wood! LOL!

 

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On 3/2/2017 at 2:42 PM, FordGuy48 said:

Hi there, over two months now with this new socket, and it's going great, feels really good! I'm still having some minor issue with maceration on my distal end, but honestly don't think i can do anything about that, since it's always warm and moist in the liner. Doesn't hurt or anything, just looks funny. I tried using an anti perspirant before, but that seemed to make it even whiter looking! Anyway, this socket feels way better than my previous ever did! Knock on wood! LOL!

 

Wow, 8 months now on this socket, been a really good fit! 

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I use used to use a Pin and then tried a harmony but had mixed feelings until we had so many problems it sat in the closet. When it worked it was good but the sleeves kept puncturing. I had to pull the sleeve down and up since I sat a lot at work. So I had to keep pulling my pants down at my cubicle LOL. I then tried a Seal-In® X5. I was good. I still get sores. Bad blisters. Does everyone go through this? Hematomas. 

Anyway, the Otoobock clinic near me recommended the harmony system and triton foot or a new Seal-In® X5. I am on the fence. The Seal-In X5 pops on and off easy though lacks the true snugness of the harmony but its more dependable... I hate these decisions.

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All the time that I tried to get the seal in or Vacuum to work and I ended up staying with a pin. It's not for everyone.

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4 hours ago, keano said:

I use used to use a Pin and then tried a harmony but had mixed feelings until we had so many problems it sat in the closet. When it worked it was good but the sleeves kept puncturing. I had to pull the sleeve down and up since I sat a lot at work. So I had to keep pulling my pants down at my cubicle LOL. I then tried a Seal-In® X5. I was good. I still get sores. Bad blisters. Does everyone go through this? Hematomas. 

Anyway, the Otoobock clinic near me recommended the harmony system and triton foot or a new Seal-In® X5. I am on the fence. The Seal-In X5 pops on and off easy though lacks the true snugness of the harmony but its more dependable... I hate these decisions.

Well, I had issues with the first sleeves I was getting in 2007, my first Harmony system, but then they gave me the Ottobock "Derma, Pro Flex Sleeves", and I get months, as many as 6 or 7 sometimes with these sleeves. I've had my current Harmony setup for almost a year now, and it's the best I've ever had, no sores. Everyone is different, but I'm sold on the Harmony. I am a patient of Hanger Clinic.

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Thanks @JohnnyV for the feedback. That is good tho know.

@FordGuy48 Mind me asking do you have a bony limb? After sitting for a long time do you find yourself having to roll the sleeve down and pulling it up again to get it right?

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I have boney promonances with my fibula and back in the early 80’s had my meniscus removed. So an offset was plate was added to my prosthetic improving my comfort level which increasied my ability for a higher level of activity. Regrettably that was determined 4-5 years ago and took switching my Prosthetist. The point is that I got there because I stayed on it.

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1 hour ago, keano said:

Thanks @JohnnyV for the feedback. That is good tho know.

@FordGuy48 Mind me asking do you have a bony limb? After sitting for a long time do you find yourself having to roll the sleeve down and pulling it up again to get it right?

My tibia is boney, fibula was cut back some years ago to remove a bone spur. My last socket I had trouble with my tibia, this one, has been wonderful. With my last socket, I did need to loosen the sleeve on a long car ride. This one, not at all! I had a good prosthetist at Hanger.

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28 minutes ago, keano said:

@FordGuy48 how about the heat and sweat. I do remember it (I was in Los Angeles) being very warm with the sleeve and liner. Do you get out walk much summer?

Thanks

Well, the sweat took some getting used to, I can deal with it ok. But Hanger got me these Silver Socks, worn inside the liner, they really wick away the sweat, and don't smell, I try to wear one when I know I'll be sweating a lot!

http://www.knitrite.com/prosthetics/prosthetic_socks/linerlinersock.html

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