Prosthetics Flashcards
Top 2 causes of LE
PVD
Trauma
Most common amputation site
TT > TF > TR
K levels
K0 - nonambulatory K1 - limited/household K2 - limited community K3 - community/variable cadence K4 - children/bilateral/active adults/athletes
How often should prosthetic socks/liners be replaced?
6 months
SACH foot
kids/durable
several activity levels/weights
can cause knee buckling
Single axis foot
accommodates uneven terrain indicated w/ knee instability anterior bumper stiffens DF posterior bumper slows foot drop CONTRAINDICATED if knee is stable
Dynamic response/energy storing foot
long keel lever
high level patients
Flexible keel
stops knee buckling of SACH foot
may be multi-axial
Training leg
Rotators
additional component that allows leg crossing/donning shoes (TF & proximal)
Torsion adapters
good for compliant surfaces
What phase of gait cycle do suspension systems help with?
swing phase
Supracondylar suspension
gives M-L stability
Indicated for shorter limbs/ligament laxity
When is manual locking knee contraindicated?
when anything else works
indicated with bilateral amputees (one leg)
Polycentric knee
COR relocates throughout ROM
leg can shorten for swing
knee disartic/short TF
weight activated stance control knee
if knee flexed < 10-15 deg brake engages & buckles knee if knee flexes > 15 deg