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A three-quarter type below-elbow socket for myoelectric prostheses.

W F Sauter, S Naumann, M Milner

    Prosthetics and Orthotics International
    |August 1, 1986
    PubMed
    Summary
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    Below-elbow amputees using myoelectric prostheses experience heat and skin issues due to non-ventilated sockets. A novel technique removes a socket quadrant, improving ventilation and comfort for prosthetic users.

    Area of Science:

    • Prosthetics and Orthotics
    • Biomedical Engineering
    • Rehabilitation Medicine

    Background:

    • Muenster and Northwestern sockets are standard for below-elbow myoelectric prostheses, offering self-suspension without harnesses.
    • These sockets fully enclose the elbow, leading to poor ventilation, heat buildup, and excessive perspiration.
    • Lack of ventilation causes skin maceration and problems, negatively impacting prosthetic control, comfort, and wear time.

    Purpose of the Study:

    • To address the ventilation and skin issues associated with conventional below-elbow myoelectric prosthetic sockets.
    • To introduce and evaluate a modified socket design that enhances airflow and reduces skin complications.

    Main Methods:

    • A technique involving the removal of the proximal-posterior quadrant of the socket was developed.

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  • This modification aims to create a ventilation pathway within the prosthetic socket.

    • Main Results:

    • The modified socket design facilitates improved ventilation inside the prosthetic socket.
    • This intervention is expected to mitigate heat buildup and reduce perspiration.
    • Potential benefits include decreased skin maceration and improved user comfort and prosthetic control.

    Conclusions:

    • Socket modification by removing the proximal-posterior quadrant offers a potential solution to ventilation problems in below-elbow myoelectric prostheses.
    • This technique may enhance user comfort, skin health, and overall prosthetic functionality.