BK Trouble Shooting Flashcards
Adjustment to address medial leaning pylon
Reduce socket adduction
Tighten medial screw
Adjustment to address lateral leaning pylon
Not enough socket adduction
Tighten lateral screw
Adjustment to outset the foot
Tighten proximal lateral and distal medial
Adjustment to inset the foot
Tighten proximal medial and distal lateral
Adjustments to reduce excessive varus thrust
Medial pad of socket ML too large
Outset foot (tighten proximal lateral and distal medial)
Adjustments to reduce drop off
Extend socket (tighten posterior)
Plantarflex foot (tighten posterior)
Shift socket posterior (tighten proximal anterior and distal posterior)
Adjustments to address ‘stepping in a hole’ / riding heel
Flex socket (tighten anterior)
Dorsiflex foot (tighten anterior)
Shift socket anterior (tighten proximal posterior and distal anterior)
Pain / pressure on fibular head only
Insufficient relief
Carve out socket
Create window in socket
Re modify
Heat relieve test socket
Pain / pressure on distal patella only
Patellar bar too high
Pain on distal end
Short socket (check patellar bar level)
Not enough socks
Pain at distal anterior tibia
Flex socket to increase loading on anterior limb or initial flexion excessive
Increase AP loading, check posterior brim height
Insufficient relief
Long heel (shift socket posterior)
Pressure at proximal anterior and distal posterior
Excessive extension moment
Flex socket
Check shoe heel height and heel bumper
Pressure and proximal posterior and anterior distal
Excessive flexion moment
Extend socket
Check shoe heel height and heel bumper
Pain in popliteal
Excessive modification
Pain proximal medial and distal lateral
Excessive varus moment
Outset foot or increase socket adduction
