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The art of the socket

The art of the socket

ĆŪĢŅ“«Ć½ĘĘ½ā°ęĻĀŌŲ graduate takes ā€˜artisanalā€™ approach to making prosthetics


When an 11-year-old llama named Bella broke her right hind leg in a gopher hole in 2010, her owners, Chuck Robuck and Trish Brandt-Robuck of Newcastle, Calif., chose to amputate rather than euthanize her.

But curious Bella loved wandering the coupleā€™s ranch, and, unable to live the life she had known, fell into a depression. Thatā€™s when they called in University of Colorado Boulder graduate Michael Carlson (ā€˜02KINE), a certified prosthetist, orthotist and ā€œmedical artistā€ who crafts prosthetic sockets.

Bella

Michael Carlson shares a moment with Bella, the llama, who can walk thanks to him. Photo courtesy of Michael Carlson.

As Will Rogers once noted, ā€œThe best doctor in the world is the veterinarian. He can't ask his patients what is the matterā€”he's got to just know.ā€ Carlson, 39, faced the same dilemma with Bella, and for the next three and a half months, he struggled to get her prosthetic interfaceā€”the part between the skin and artificial limbā€”just right.

ā€œThere were huge setbacks,ā€ he says, ā€œincluding a real communication barrier.ā€

But after three tries, Carlson succeeded, and Bella has worn her leather-and-metal prosthetic leg for eight to 10 hours a day ever since.

ā€œIn her case, this was a life-saving procedure,ā€ he says.

This case was unique for Carlson, though, in an important way: Most of Carlsonā€™s patients are humans.

ā€œI really shine when someone walks well,ā€ he says, referring to his chosen profession as ā€œartistry at the socket.ā€

And not just walk. Among his most gratifying experiences are helping a man who lost his leg in a BASE jumping accident, who then made a successful jump from the bridge where the accident occurred, and the time he went snowboarding with a veteran for whom heā€™d created a sports prosthesis.

Carlson gives partial credit for his success to his early exposure to craftsmanship in his fatherā€™s woodworking shop, especially learning how to use a sewing machine, and his long love affair with ceramic wheel-throwingā€”aka pottery.

ā€œIā€™ve described what I do to people as a medical art,ā€ he says. ā€œItā€™s kind of an old profession, and the reality is that not much has changed with the interface between the device and the patient. My specialty is the design and fitting of the socket.ā€

Carlson grew up in Grand Junction and decided to study kinesiology at ĆŪĢŅ“«Ć½ĘĘ½ā°ęĻĀŌŲ, with a possible eye toward the health care field. He worked with Rodger Kram, professor of integrative physiology, and began focusing on prosthetics toward the end of his time in school.

Carlson, like many of his peers, got his start with , which has created devices for many famous clients, including a tail for Winter the dolphin, star of the movie ā€œDolphin Tale.ā€ While working for the company, he graduated from various prosthetics and orthotics certificate programs, including a prosthetics and orthotics residency in New York City. In 2016 he left the company to start his own practice.

ā€œMy career path,ā€ Carlson notes, ā€œhas been linear.ā€

A prosthetics practice, he says, is similar to a dentistā€™s office. He is the clinician who designs and implements a treatment plan and follows up. But where many clinics have technicians to do the actual fabrication, Carlson is involved with all phases of the process.

It all starts with a patientā€™s healing after amputation, which can take six weeks to 12 months. When the patient is ready with a ā€œhealed and cylindrical limb,ā€ Carlson takes a cast and creates a prototype. Once heā€™s got the fit right, he creates a carbon laminate shell to fit the limb that attaches to prosthetic components.

Carlson has chosen to stick with a hands-on, ā€œartisanalā€ approach, despite the advent of such time-saving technologies as prefabricated sockets and 3D printing.

ā€œI believe haste makes waste,ā€ he says. ā€œIt takes a long time. Itā€™s an intimate procedure. I really get to know my patients, and itā€™s so gratifying when I get to see them walk.ā€

Going to school at CU, with its mountain backdrop and countless recreational opportunities, helped point Carlson toward his unconventional careerā€”all told, there are only about 2,000 people in the field in the United States, he says.

ā€œI felt lucky to be there, and I felt an obligation to make an impact or strive toward significance and give back,ā€ he says. ā€œI invested in my education and wanted to use it; I wanted to use my degree in my work and keep building on my CU
education. My job is all about helping peopleā€ā€”and, it must be noted, the occasional grateful llama.