Professional Documents
Culture Documents
Medium
Sliding friction
Fluid friction
- hydraulic friction
- pneumatic friction
Microprocessor controls
Knee Unit: EXTENSION AID
A mechanism to assist knee
extension during latter part of swing
phase
Types-
i. Elastic webbing
ii. Internal extension aid
Knee Unit:STABILIZERS
To increase stability of knee unit
Hip motion controls knee action, aided by
alignment of knee in relation to other
components of prosthesis
Knee joint is aligned posterior to line
extending from trochanter to ankle (TKA
line)
Types
i. Manual lock
ii. Friction brakes
SOCKET
Pressure tolerant
areas
Gluteal
musculature Pressure sensitive
Sides of the thigh areas
And distal end of Pubic symphysis
amputated limb Perineum
Types of socket
Ischial Containment
Quadrilateral socket socket
i. Post wall-ischial tuberosity i. Contoured adducted
+ gluteal muscles trochanter-controlled
ii. Ant wall- applies post alignment method.
directed pressure ii. Covers ischial tuberosity
iii. Lat wall- aid in medio- and part of ischiopubic
lateral stabilization ramus to increase
iv. Med wall stability.
Reliefs iii. To increase frontal
v. Antero-medial stability medial-lateral
vi. Postero-medial width is narrow.
vii. Antero-lateral iv. Lateral wall covers
viii. Postero-lateral greater trochanter.
Suspension
Suction suspension
i. Refers to pressure differences inside and outside the
socket.
ii. In suction suspension,(int socket press) < (ext
pressure), therefore atm press. causes the socket to
remain on the thigh
iii. One-way air-release valve enables residual air to be
expelled
iv. Types of suspension are
a) total suction,
b) partial suction and
c) no suction
Suspension in Transfemoral
Prosthesis
FIT AND ALIGNMENT
FIT
i. Snug fitting to minimize chaffing
and maximize control
. ALIGNMENT slight socket flexion
i. Facilitates contraction of hip
extensors
ii. Reduce lumbar lordosis
iii. Allows equal step length
DIFFERENT TYPES OF LOWER LIMB
PROSTHESIS
KNEE DISARTICULATION
PROSTHESIS
Excellent prosthetic
control because
i. Thigh leverage is
maximum
ii. Body weight can be
borne through distal
end of femur
iii.Epicondyles provide
rotational stability
HIP DISARTICULATION
PROSTHESIS
Indications
i. Amputation above greater
trochanter (short transfemoral)
ii. Removal of the femoral head from
acetabulum (hip disarticulation)
iii. Removal of femur and portion of
pelvis (transpelvic amputation)
THANK YOU!!