TFA Chart Flashcards
Knee is too far anterior to TKA line
Increased dorsiflexion
Stiff heel cushion (too hard or too high)
Foot does not have adequate heel rocker
Heel lever too long
Insufficient socket flexion
Suspension too loose or ant/post diameter too small
knee instability
Shoe changed (heel too high)
Hip flexion contracture
Weak hip extensors
knee instability
Anterior or medial brim pressure
Heel too hard or too high
Too much built in toe out
Socket too loose
Too much pressure over tensor
foot rotation
Patient extends limb too forcefully at initial impact
Changed shoe to stiffer heel
Poor residual limb muscle control
Poor pelvic control
foot rotation
Too soft heel cushion or bumper
Foot simulation of heel rocker too soft
Foot Slap &
Forceful Impact of heel with floor
Patient drives prosthesis into ground too forcefully
Lack of confidence
Inadequate training
Foot Slap &
Forceful Impact of heel with floor
Excessive dorsiflexion
Excessive socket flexion
Ball of foot is >1.5” from floor
prosthetic stride too long
Ball of foot is >1.5” from floor
Prosthesis too long
Foot outset
Medial leaning pylon
Limb not seated into socket
Medial wall too high
Improper relief of femur at distal femur
Pelvic band not proper shape or too far from body
abducted gait
Poor midline perception
Sound limb adducted
Too many ply socks or Limb is edematous
Abduction contracture
Insecurity or habit
Poor midline perception
Sound limb adducted
Too many ply socks or Limb is edematous
Abduction contracture
Insecurity or habit
Poor balance
Weak hip extensors or weak hip adductors
Hip flexor contracture
abducted gait
Prosthesis too short
Outset foot
Medial-lateral socket diameter too large
Lateral leaning pylon / abducted socket
Too high medial wall / ramus pressure
Improper lateral wall contouring causing pressure
Lateral leaning of trunk towards prosthesis or
Trendelenburg / Duchenne
Weak hip abductors/gluteus medius
Fear or habit
Pain / Inability to bear weight
Abducts foot & shifts weight with upper body
Very short residual limb
Hip abduction contracture
Lateral leaning of trunk towards prosthesis or
Trendelenburg / Duchenne
Inadequate socket adduction
Lateral leaning pylon / socket abducted
Inadequate support to lateral side esp. distally
Outset foot
excessive drop of pelvis on sound side
weak hip abductors
excessive drop of pelvis on sound side
Inset foot
Medial leaning pylon / socket adducted
Excessive medial-lateral socket diameter
lateral gapping of socket
adducted gait
short residual limb
lateral gapping of socket
Abducted socket / lateral leaning pylon
Inverted foot
Walking on lateral border of foot*
adducted gait on prosthetic side
walking on lateral border of foot
Adducted socket / medial leaning pylon
Everted foot
walking on medial border of foot
abducted gait
walking on medial border of foot
Pain from socket
Knee bolt is higher or lower than anatomical knee
decreased stance duration