Wheelchair Seating Modifications for Fractured Femur

Happy Friday Everyone! And happy belated Thanksgiving to my Canadian readers! This week I would like to share with you some seating modifications done by Dave Cooper at Priority Posture Systems. Dave even supplied the photos for this post as I unfortunately forgot to take some after we had finished the modifications. Thanks Dave! This client already had a custom fabricated seating system, which was fabricated by James Cooper at Priority Posture Systems. This system consisted of a foam-in-box backrest and custom seat comprised of a custom sized dual-valve Roho insert for the ischial well and a custom foam front end. It also has custom arm supports that were mounted on swing to side armrests for clearance of the trunk laterals during transfers. Here is a picture of her system below:

Our client sustained a right femur fracture during a transfer and needed to be casted, then splinted from her thigh to her ankle. It was definitely one of those urgent, “….oh dear! what do we do??”, kind of cases. This splint supported and held the clients’ knee in extension and it therefore needed to be supported in this position when she was using her wheelchair and seating system. This client also required modifications to her commode as she used this for bathing and toileting. So here is what we did:

As you can see from the pictures, a custom fabricated contoured pad was made and upholstered, then mounted onto the front rigging of the wheelchair. The contouring laterally was important to keep the limb in place. A neoprene strap with velcro was added later as well to keep the limb in place. On the commode the mount was secured onto one of the posts where the footrest would have mounted onto. This was a simple fix, but was somewhat difficult to troubleshoot through. We could only transfer the client in/out of the system once due to pain. Prior to this visit, the family practiced raising the head of the bed slightly and did regular hip passive range of motion exercises to maintain mobility at the hip for sitting. This was key to the success of trial and fabrication process. Funding was also a bit complicated as this was a temporary modification. This client will likely need to use the splint for at least 6 months. For this particular client, that amount of time would be unreasonable to remain on bedrest due to her medically fragile status. Some considerations were her skin health, respiratory health and bowel and bladder health. These were some of the issues that were relevant and helpful points for funding justification. Anyways, I hope you find this post helpful! Thanks again to Dave Cooper at Priority Posture Systems for the photos and the great work! Until next time!

Seating is Super!

Cheryl

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