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Transtibial Prosthesis 1.0

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0% found this document useful (0 votes)
38 views1 page

Transtibial Prosthesis 1.0

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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The fibula and tibia are transected.

Preserved is the anatomical knee with its motor and sensory capacities.

COMPONENTS
1. Foot –ankle assembly
• In early stance, the plantar flexes, absorbs trauma, and restores foot contour.
• Mimics the late stance's metatarsophalangeal extension.

2. Nonarticulated Feet - SACH Foot


• An assembly of a solid ankle cushion heel (SACH) is typical.
• Rubber-coated metal or wooden keel.
• Robust rear section designed to absorb shocks.
• Accessible in a range of plantarflexion degrees and sizes.

3. Articulated Feet:
• Articulated feet, with separate foot and lower shank sections are connected by an ankle component
• Controlled by rubber bumpers

4. Single Axis Feet:


• It is an articulated foot with a posterior bumper controlling plantarflexion excursion.
• The Prostheticist can adjust the bumper based on the patient's force. An anterior bumper resists
dorsiflexion and absorbs force.

5. Shanks: Endoskeletal
• The shank acts as a human leg replacement, restoring leg length and distributing body weight from
the socket to the prosthetic foot.
• Foam rubber covers a central pylon, which is a stiff plastic or aluminum tube.

6. Sockets:
• The amputation limb is fitted into a socket, a plastic receptacle that contacts all parts of the amputated
limb for optimal load distribution, blood circulation, and tactile feedback.

7. Socks, Sheaths, and Liners:


• Individuals with lateral leg amputations require clean socks of appropriate material, size, and shape.
It is recommended to order at least a dozen socks at the time of prosthesis prescription to cover third-
party payment. Fabric socks come in various thicknesses, with cotton being the least allergenic and wool
providing good cushioning.

8. Suspension:
• During the swing phase of walking, or whenever the wearer is not standing on the prosthesis, such as
when climbing stairs or jumping, the prosthesis requires some form of suspension to hold it in place.

9. Cuff variants
• Modern transtibial prostheses are derived from supracondylar cuffs, which have straps made of cloth,
plastic, or leather

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