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Semi-flexible sockets for amputation below the knee.

D C Symington, P J Lowe, S Mackay

    Archives of Physical Medicine and Rehabilitation
    |September 1, 1975
    PubMed
    Summary
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    This study evaluated a semi-flexible socket for below-knee amputees, finding it beneficial for comfort and skin health. Further research is recommended for active amputees experiencing functional limitations due to prosthetic fit issues.

    Area of Science:

    • Prosthetics and Orthotics
    • Biomedical Engineering
    • Rehabilitation Medicine

    Background:

    • Below-knee amputees often face challenges with prosthetic socket comfort and skin integrity.
    • Existing prosthetic assessment methods may not fully capture functional limitations related to socket fit.
    • Active amputees require advanced prosthetic solutions to maintain optimal function and quality of life.

    Purpose of the Study:

    • To evaluate the efficacy of a semi-flexible socket in a cohort of below-knee amputees.
    • To identify challenges in assessing prosthetic components and establish appropriate methodologies.
    • To determine the suitability of semi-flexible sockets for active amputees with specific functional concerns.

    Main Methods:

    • A cohort of 47 consecutive below-knee amputees was fitted with a semi-flexible socket.

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  • Prosthetic component assessment and methodological appropriateness were critically examined.
  • Patient function was monitored, with particular attention to comfort, perspiration, and skin condition.
  • Main Results:

    • The semi-flexible socket demonstrated potential benefits for amputee patients.
    • Difficulties were encountered in the assessment of prosthetic components and methodology.
    • Preliminary findings indicate the socket's promise in addressing comfort and skin issues.

    Conclusions:

    • The semi-flexible socket warrants broader application and further investigation in clinical practice.
    • Active amputees experiencing functional impairments due to socket-related issues may benefit from this technology.
    • Continued research is essential to optimize the use of semi-flexible sockets in prosthetic rehabilitation.