The proximal wrapping should be four layers thick. The bandage is then brought into the perineum and drawn towards the inguinal region to finish at least 2" proximal to the trochanter. In addition, the brim is coated with silicone spray.Įlastic bandage is applied to the limb, covering at least a third of the gluteal musculature. This allows for the thickness of the plaster. At this time the brim is widened by 2.5 rotations of the adjustment screws. The brim is then removed from the limb, and the trochanter and distal femur are marked. In this region the residual limb, not the brim, will give you the appropriate contour ( Fig. Adjustments may be required by loosening or tightening the adjustments screws, but do not be concerned with any gaps that may occur between the limb and brim in the posterior region. At this time, check the tissue distal to the brim for even continuity. The gentle drawing downward of tissues may be required ( Fig. The brim is then placed around the limb and moved proximally to contact the ischial tuberosity. Tube gauze is placed on the patient's residual limb and appropriately suspended. CASTINGįollowing the brim selection, a circumferential gauge should be employed to establish your reduced ischial level measurement. As we became more comfortable with the system, we found that we could select the appropriate brim size as if we were casting for a conventional quadrilateral socket, but using the contralateral brim. Shamp ( Fig.1B ), we could select the appropriate brim. 1A ) and the measurement data sheets designed by Mr. Initially, we found that by utilizing the graph established by Mr. With this brim, we were able to adjust the ML dimension. The Scarpus bulge contours to the posterior lateral region. Taking a brim for the contralateral side, rotating it 90°, the original posterior seat becomes the medial wall and the medial wall becomes the posterior seat. We began a study on the possible application of the Berkley Brim for casting of a narrow ML socket. The authors would like to present a new casting technique which will greatly cut down on cast modification time as well as the number of check sockets required. All involve new methods or new equipment. Many articles have been published with regard to new casting techniques for narrow ML socket design. For more information about the Academy please visit our website at You can help expand theĪn Alternative Casting Technique For Narrow ML Sockets Justin Horowitz, C.P.O. However, this does not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government. Funding for this project was provided by the American Academy of Orthotists and Prosthetists through a grant from the US Department of Education (grant number H235K080004).
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