PubMed HealthSearch

PubMed · 2186127

Current concepts in above-knee socket design.

Abstract

To review the fundamental tenets of above-knee socket design proposed by Radcliffe nearly 40 years ago, sockets must be designed to achieve vertical support of body weight, stabilization of the residual skeleton in both the coronal and sagittal planes, accommodation of functioning muscles, voluntary control of the prosthetic knee, individualized design, and an optimum balance of comfort, function, and appearance, both statically and dynamically. Contemporary approaches represent enhancements and refinements toward these ends, but each of these fundamental goals must be satisfied no matter what socket design is selected.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J W Michael. 1990. Current concepts in above-knee socket design.. https://pubmed.ncbi.nlm.nih.gov/2186127/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Use of Van Nes rotationplasty to manage a burnt knee.

An 11 month old child sustained a deep burn injury to the left knee causing total destruction and sequestration of the knee epiphyses. The ensuing leg length discrepancy with growth was managed by a Van Nes rotationplasty at age four with a good immediate functional result using a below 'knee' prosthesis and the prospect of continuing ambulation as he grows. The surgical options for managing this problem are discussed.

Artificial Limbs

Pediatric bone tumors.

Although osteosarcoma and Ewing's sarcoma are quite rare, they are the only primary skeletal malignancies that occur with any regularity in children. The evaluation, diagnosis, and management of skeletal neoplasia are reviewed using these two diseases as the focus of discussion. Radiographic imaging, biopsy approaches, diagnostic considerations, and therapeutic management are explained. Demographics and pathophysiology of osteosarcoma and Ewing's sarcoma are explored in more depth.

Artificial Limbs

Suspension systems for prostheses.

The appropriate suspension system results in a safe and well functioning lower extremity prosthesis. Residual limb length, joint ligament stability, and limb volume determine suspension methods as does activity level, dexterity, success of previous suspension, and cosmetic requirements. The supracondylar suspension cuff, prosthetic sleeves, and gel liners with locking mechanisms generally are indicated for the average to long transtibial amputation level. Short limbs are better fitted with supracondylar and suprapatellar suspension. Waist belts generally are indicated for patients with new amputations or those with vascular compromise. Suction suspension is the most desirable form of transfemoral suspension and is recommended for most standard to long residual limbs. Roll on silicone liners with or without locking pins and the hyperbaric sock offer the patient systems that are easier to don yet still provide unencumbered suspension. The total elastic suspension belt offers excellent auxiliary suspension and can be applied to the prosthesis by the patient. Multiple factors and patient preference should be considered when prescribing suspension systems for lower extremity prostheses.

Artificial Limbs