What is a personalized lamination?

This question came up recently, and we thought we would repost it!

QUESTION:

I would like to understand what is meant by lamination and in particular what is a personalized lamination?   - Kerry J.

ANSWER:

Hey Kerry!  The quick answer - a personalized lamination is anything other than the traditional colors used for the outside layer of a lamination of a prosthetic leg socket - colors which would match a person’s skin tone.  All laminations are customized for the patient’s individual prosthesis.  Sometimes a patient selects to laminate their socket with a layer in something more personal - something other than a skin tone.

A lamination can consist of a number of different materials layered one on top of the other - from carbon, fiberglass, nylon and Nyglass (a combination of nylon and fiberglass.) These materials are used in different ways and layers to meet each prosthesis wearer’s strength, activity level and weight bearing requirements.  We want the prosthesis to be as light as possible but also hold up to those requirements.  Once the layered materials are put on the cast, a poly vinyl alcohol (PVA) bag is pulled over the material on the cast and a laminating resin is introduced into the bag. The technician will work the resin into the layered material so that each layer is saturated. After this is achieved, the technician will work out the extra resin so as not to add weight to the socket.  

A personal lamination is the same as a regular lamination except that the final, outermost layer of material will be a fabric that the person has chosen to express a personal look on the socket. What is a good fabric to use?  The fabric must allow water to go through the fabric, because if water will not go through then neither will laminating resin. For instance, silk screened fabrics and fabrics with iron-ons do not work. These seal the fibers of the fabric and don’t allow the resin to saturate it.  A heavy fabric like t-shirt cotton soaks up a lot of resin and can increase the weight of the prosthesis.  A nylon based material (like leggings) works great and does not add any significant weight to the prosthetic leg. 

Why would someone want this kind of lamination?  Some of the factors in selecting a personalized lamination might be to express a person’s personality.   Sometimes the lamination allows the wearer to make the leg their “own” - making it a little easier to adjust to the prosthesis.   Sometimes that final look can make the difference in whether or not a person wants to wear the prosthesis. We see this a lot with children - with anything from superheroes to favorite animated characters on the finished socket.    

We have a gallery of some personalized laminations here - each of these was created by using a fabric that the patient supplied - so these are one of a kind sockets!  Click on any picture to enlarge the image.  Be sure to scroll down below to see a slideshow of Brian Day, Fabrication Technician, as he finishes the socket after a fabric with a wolf's head has been used as the final layer of the lamination.   

Dankmeyer is happy to personalize a lamination at no extra charge to Dankmeyer patients.   Thanks for your question! - Chuck Poole, Director of Fabrication

Do you have a question you would like to Ask Us? Email us at info@dankmeyer.com.

 

How do I clean my device?

Question:

How do I clean my prosthesis or orthosis? David K.

ANSWER:

Thanks for your question!

We have a number of written instructions that pertain to different devices that our patients have. These can be found on our Patient Resources page.

We also have two new videos that might help. These were created by our 2019 summer interns Noah Rogofsky and Kamilla Miller.

The first is Cleaning and Inspecting Your Prosthesis.

Or, you may like to watch Cleaning Your Orthosis.

 Do you have a question you would like to Ask Us? Email us at info@dankmeyer.com.

Where do I find an amputee support group?

QUESTION:

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I am an amputee looking for a group of amputees to share information about activities and common interests and issues. Is there such a group?

Robin T.

ANSWER:

Robin,

What you are looking for is an Amputee Support Group. There are several in the Maryland area and one of these might be convenient for you to attend. Support groups often host speakers on a variety of topics, and of course provide a forum for group members to ask questions, share ideas and socialize!

Support Groups:
Easton Amputee Support Group click on this link to find out more. This group meets on the first Tuesday of the month, 6:00pm - 7:00pm. During Daylight Savings Time, November through March, the meeting will be earlier in the day, 3:30pm - 4:30pm.

MedStar Good Samaritan Amputee Support Group click on this link to find out more. This group meets on the fourth Wednesday of the month, 1:30pm - 3:00pm.

Sinai Rehabilitation Amputee Support Group click on this link to find out more. This group meets on the second Tuesday of the month, 1:00pm - 3:00pm.

University of Maryland Rehabilitation Amputee Support Group click on this link to find out more. This group meets on the third Wednesday of the month, 6:30pm - 8:00 pm.

Western Maryland/Cumberland area support group: NEW! Meets on the last Friday of each month at 6:00 pm at the Allegany College of Maryland in the Allied Health Building in room 237 (which is on the upper level).

Johns Hopkins Amputee Support Group - this is the new group and doesn’t have a website yet. They had their first meeting Tuesday, June 25, 2019. Future meetings will be on the fourth Tuesday of the month from 12:00pm-1:00pm in Meyer 2-109 (Meyer 2 Psych Gym), prior to the Downtown Multi-Disciplinary Amputee and P&O Clinic from 1:00pm-5:00pm.

You can find additional information about support groups on the Amputee Coalition’s website by clicking here. If you are interesting in starting a support group, you can also find that information on the AC website.

Many amputees find that participating in a support group is very rewarding!

Do you have a question you would like to Ask Us? Email us at info@dankmeyer.com.

 

How do I travel with my prosthesis?

QUESTION:

I am a fairly new amputee and plan to take several trips this summer.  What should I know about traveling with a prosthesis?

Melissa C.

ANSWER:

Melissa,

Here are a few tips regarding the most commonly asked questions in terms of summer travel.

Sweat

Many prosthesis wearers find sweat in the summer months to be a frequent concern.  One way to help battle the sweat is to use an antiperspirant on your limb (e.g. Certain Dri has a roll-on version).  With antiperspirants, it is best to apply them at night so they have time to absorb into your skin.  Consistent use of them will also aid in decreasing your sweating over time.  Also, as you sweat, your limb could shrink in size over the day.  It may seem counterintuitive, but putting on extra prosthetic socks could help improve your comfort by tightening up the fit of the prosthesis to reduce pistoning and keep it more tightly secured on your limb.  It is also a good idea to take the prosthesis off a couple of times during the day to let your limb air out, and it would give you a chance to rinse out (using warm water and gentle soap) and towel dry your gel liner, or wipe off your sleeve.

Beach

Taking your prosthesis on the beach?  You may want to consider protecting the components by wrapping any exposed components with clear plastic wrap, or even better – using a waterproof cast sock (such as Xerosox).  If your prosthesis does get wet with salt or chlorinated water, rinse it with fresh water and then dry it completely with a towel.

Airplane 

If you are traveling by air, TSA has some rules for traveling with prostheses and other medical devices. Before you head to the airport, review TSA’s rules so you don't get any surprises at security!  Check here for traveling with prostheses and other medical devices:  https://www.tsa.gov/travel/special-procedures?field_disability_type_value=6%20

You can print out and fill in a TSA disability notification card to have ready to show the security officer, in order to help avoid unwanted delays:  https://www.tsa.gov/sites/default/files/disability_notification_card_508.pdf

Car

For those long car rides, you may be more comfortable taking your prosthesis off completely.  Never store your prosthesis in a hot car.

Prosthesis maintenance

Do a visual inspection of your prosthesis before you leave.  See any crack or tears in the liner or sleeve?  Feel any excessive motion or loose parts?  Or hear any strange sounds?  It is recommended that you schedule a routine maintenance check of your prosthesis before your vacation, to help prevent any problems that may occur while you are away.  If you have any concerns about your prosthesis following your trip, that is also a good time for a check-in with your prosthetist.

Thanks for your question! - Angie Bryl, CPO

Do you have a question you would like to Ask Us? Email us at info@dankmeyer.com.

 

How long does a prosthesis last?

Question:

How long does a prosthesis last? Carly W.

ANSWER:

Thanks for your question! The answer is not as straightforward as six months, one year, or five years. Fabrication and integrity-wise of the prosthesis, it can last for several years. However, the question of whether it continues to fit well and is still appropriate for you is different!

People with limb loss can expect their limbs to change for several years after their amputation. This includes shape change, reduction in size, increase in size, and changes in skin quality/appearance. So, even if your prosthesis is still in good condition, it may not fit well and may not be able to be adjusted to fit properly. Continuing to use a prosthesis that does not fit well may put you at risk for skin breakdown, pain, or change how you walk. We anticipate that your residual limb will change more quickly soon after your amputation, and over time these changes should become less dramatic.

As your limb shape becomes more stable, you may not need a replacement prosthesis as frequently. Your preparatory (often first) prosthesis may last you anywhere from six months to a year, but there are certainly people who use it for a shorter or longer period of time, it simply depends on how you are progresssing and how your limb is changing.

If you are not sure if your prosthesis is fitting well, or is still appropriate for you, schedule an appointment with your prosthetist to discuss options.

- Nina Bondre, Certified Prosthetist Orthotist

 Do you have a question you would like to Ask Us? Email us at info@dankmeyer.com.