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Adjustable Prosthetic Sockets Are a Potential Solution to Skin Breakdown for Individuals with Lower Limb Loss: A Case
Jessica Kenia1, Jim Marschalek2, Timothy Dillingham1
1Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine, Philadelphia, PA 19146, USA.
Reports (MDPI)
|April 24, 2026
Summary
Adjustable transtibial prostheses significantly improved patient comfort and eliminated skin breakdown, a common issue with conventional sockets. This innovation offers a solution for individuals experiencing residual limb volume fluctuations.
Area of Science:
- Biomedical Engineering
- Orthotics and Prosthetics
Background:
- Conventional hard sockets for transtibial prostheses cause skin breakdown in nearly half of users.
- Residual limb volume changes frequently lead to poor socket fit, skin irritation, and breakdown, especially problematic for individuals with diabetes.

