L7 Prosthetics Components Flashcards
Parts of TT prostheses
socket
pylon
ankle
foot
suspension
Parts of TF prostheses
socket
rotator
knee joint
pylon
foot
Preparatory prosthesis
First prosthesis after amputation
Definitive Prosthesis
provided after limb has matured and shape/volume has stabilized
Bench alignment
done on a work bench in sitting
Static alignment
with patient standing at parallel bars
Dynamic Alignment
after observing gait
Socket anterior
knee easier to flex
Socket posterior
knee more stable, in extension
Foot moved anterior
knee more stable
Foot moved posterior
knee easier to flex
Knee more stable in transtibial alignment
socket posterior
foot moved anterior
Knee easier to flex in transtibial alignment
socket anterior
foot moved posterior
Relative DF
inclines the prosthesis anteriorly
moves the knee joint center forward relative to GRF, promoting knee flexion at LR
Relative PF
inclines the prosthesis posteriorly
moves knee joint center backwards relative to GRF, promoting knee extension throughout stance phase
TT Socket flexion
moves knee joint center anterior relative GRF
promotes knee flexion at LR
TT Socket extension
moves knee joint center posterior relative to GRF, promoting extension throughout LR and stance
Socket flex/ext is named for
alignment it produces in most distal residual joint
prosthetist can align the socket in some initial flexion for an individual with short hip or knee flexors
Transfemoral Bench alignment
proper fit helps pt to not feel weight of prosthetic
Pressure tolerant areas TT
patellar ligament
lateral fibular shaft
medial tibial shaft
lateral tibial shaft
Pressure sensitive areas TT
fibular head (moves as leg flexes)
lateral tibial flare
tibial crest
distal end of fibula/tibia
patella
anterior tibial tubercle
peroneal nerve
adductor tubercle
Pressure Tolerant Areas TF
ischium
soft tissue of residual limb
Pressure Sensitive Areas TF
greater trochanter
pubic tubercle
pubic ramus
pubic symphysis
distal end of femur
perineum
Sockets for Partial Foot amputations
toe filler w/carbon footplate
anterior shell AFO w/toe filler
full laminated socket w/carbon plate
Partial foot prosthesis
toe filler with carbon footplate
Types of Transtibial Sockets
patellar tendon bearing
supracondylar PTB
supracondylar suprapatellar
total surface bearing(indicated for all RL)
Patellar tendon bearing
TT
very extreme modifications to take up weight in specific areas of limb
older version
most weight through front and sides
Transfemoral Socket Types
quadrilateral socket
ischial containment socket
sub ischial socket
Quadrilateral socket
TF
no bony lock
Ischial containment socket
TF
bony lock