Q1: TT Socket Designs Flashcards

1
Q

Suspension

A

holds the prosthesis on the residual limb

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2
Q

Interface

A
  • contacts skin
  • Materials used between limb and socket
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3
Q

Socket

A

contains, supports, and protects the residual limb

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4
Q

Shank/construction

A

maintains spatial relationship between socket and foot

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5
Q

Protective Covering

pr

A

provides protection of components from environmental elements; often custom shaped

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6
Q

Foot/ankle/other

A

transfers and absorbs ground reaction forces

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7
Q

Socket Functions

A
  • serve as rigid attachment to distal components
  • facilitate energy/force transfer between the patient and the ground
  • protect residual limb from damaging pressures and impact forces
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8
Q

TRUE OR FALSE
Increasing the support area decreases pressure on skin

A

TRUE

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9
Q

Open ended socket design

A
  • no distal end contact
  • combined with joint and corset to provide weight bearing and suspension
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10
Q

Verrucous Hyperplasia

A

Progression:
1. Edema
2. Verrucous hyperplasia
3. cancer risk if left untreated

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11
Q

Why was distal limb contact introduced

A
  • to reduce factors that led to excessive edema and verrucous hyperplasia
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12
Q

PTB Socket Design Loading Principles

A
  • Total contact
  • Specific weight bearing
  • anterior-posterior compression with high posterior brim
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13
Q

PTB-SC Varient

A
  • supracondylar
  • indications: anatomical (supracondylar) suspension; ML knee joint stability
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14
Q

PTB-SCSP Varient

A
  • supracondylar-suprapatellar
  • high trim line over patella
  • quadriceps bar
  • limits knee hyperextension in late stance phase
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15
Q

What is an indication fot PTB-SC design

A
  • short residual limbs
  • ligamentous laxity (ML instability)
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16
Q

Hydrostatic Socket Theory

A
  • introduced for TF
  • based on hypothesis that if the soft tissues of AK stump are adequatley sipported in a suitably shaped container they will behave under load as an elastic solid with low stiffness
17
Q

Total Surface Bearing Design

A
  • developed in order to enable use of skin fit suction suspension
  • clear test socket: improved ability to evaluate intimacy and accuracy of socket fit
18
Q

Total Contact

A
  • all area of limb have some contact but weight bearing areas can be altered to increase or decrease loads
19
Q

Total Surface Bearing

A

pressue is distributed more equally across the entire surface of RL

20
Q

Exoskeletal Shank

A
  • external support structure
  • structural strength is derived from external shell of shank
  • inside of shank may be hollow or solid
21
Q

Exoskeletal Advantages

A
  • strength
  • durability
  • less exposed componentry
  • customization of thickness
22
Q

Exoskeletal Disadvantages

A
  • alignment not adjustable
  • lack of modularity
23
Q

Endoskeletal Shank

A
  • internal support structure
  • pylon
  • can add protective cover
24
Q

Endoskeletal Advantages

A
  • modularity
  • adjustability
  • patient preference
  • component selection bigger
25
Q

Endoskeletal Disadvantages

A
  • higher strength requires heavier or more $$ components
  • reduced durability
  • exposed componentry