PRESENTATION LAYOUT

• Socket types {recap}

• Advantages and Disadvantages for socket types
• Socket accommodation relative to stump firmness
• Socket functions
• Shanks
• Indications and contraindications
• Advantages and Disadvantages
 Socket Types
• Conventional
• Push fit, hard shell
• Panel
• Double wall socket
 Conventional design
 Advantages
• Stability
• The porosity of leather
• Low cost
Disadvantages
• Wasting of thigh muscle
• Bulky and heavy
• Time consuming in fabrication
 Push fit, hard shell
ADVANTAGES
• Less bulky
• Hygienic
DISADVANTAGES
• Patient must have adequate tissue coverage over the femoral
condyles
• It is hard and painful to clients with bone protrusions
 Panel
ADVANTAGES
• For bulbous stumps
• For more bony stumps
• The panel on the medial wall aids in donning and doffing
DISADVANTAGES
• Condular suspension harder to achieve with excessively fleshy
or muscular
• The design lengthens the thigh section of the prosthesis
making it obvious during sitting
 Double wall socket
ADVANTAGES
• Transforms bulbous shape into parallel shape,therefore
improving cosmesis
• Liner can act as cushion

DISADVANTAGES
• Liner can increase bulkiness
 SOCKET ACCOMODATION IN RELATIVE TO
STUMP FIRMNESS
• Flappy stump
• Firm stump

 FLAPPY STUMP
 Socket accommodation in relative to stump firmness entails
that a flappy stump require more force from the socket in
order to achieve a good proprioception,suspension and an
even distribution of forces.
 SOCKET ACCOMMODATION IN RELATIVE TO
STUMP FIRMNESS
 FIRM STUMP

 Socket accommodation in relative to stump firmness on a firm

stump require considerable force from the Socket because the
tissues are hard and compression should be minimal.
 SOCKET ACCOMMODATION IN RELATIVE TO
STUMP FIRMNESS
SOCKET FUNCTIONS
 The obvious functions performed by the socket of the KD
prosthesis are:
• It links the amputee to the prosthesis for transmission of
support and control forces
• It contains the stump tissues so that internal and external
forces across the interface will allow optimum biological
functions to continue
 CONTINUATION
 SOCKET FUNCTIONS
• It provides sensory information to use in controlling the
prosthesis.
• It protects the stump from the environment.
Shank
 Functions  TYPES OF SHANKS
 Hold the foot and the socket in
the right position
 Transfer patient’s weight from
 Exoskeletal shank
socket to foot
 As cosmetic part  Endoskeletal shank

Lecturer: Sichoeun To 11
Exoskeletal Shank
 Indication  Contraindication
Very active patient For temporary prostheses.
Patient works in dirty / wet Children
environment

Lecturer: Sichoeun To 12
Endoskeletal Shank
 Indication  Contraindication
 New patient / temporary Patients who do heavy / dirty
prostheses work.
 The need to be able to change
components.
 The need to make alignment
changes after the prosthesis
has been fitted.

Lecturer: Sichoeun To 13
Exoskeletal shank
 Advantages  Disadvantages
Strong Alignment cannot easily
Durable be adjusted
Cheap Socket cannot easily be
Easy to clean changed
Can match activity level Cosmesis maybe
poorer

Lecturer: Sichoeun To 14
PREPARED BY: CLAYTON .B. HAZEMBA

THANK YOU

Lecturer: Sichoeun To 15