Akarsh came to visit the Raichur clinic from his home village. He lost his foot 18 years ago in a motor vehicle accident. His current Symes prosthesis (ankle disarticulation) is 3 years old and he is very happy with it.
Akarsh came to the clinic to have the leather holding the d-loops replaced before it wore though completely. When asked to look at his prosthesis to offer any suggestions for improvements we were very surprised by the design of the socket which left the front section completely open. We checked Akarsh’s skin and found no abrasions or sores. Hardly what we would expect for a farmer working in the field all day on his feet. This is a typical example of what we have seen here, unconventional designs that work very well for the patient!
Following Akarsh’s visit we took the opportunity to explore alternative Symes designs. We discussed the rationale and fabrication of a medial (side) obturator door for a Symes prostheses with the workshop technicians. They are excited to try this new method out and already have a client in mind.
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