Transradial Self-Suspension Prosthesis

All Self-Suspension Socket Technical Objectives

  • Provide self-suspension, be secure
  • Maximize ROM, but not loose suspension
  • Comfortable with resistive forces and throughout ROM
  • Independent donning and doffing
  • Require a balance of compression between
    • the triceps bar and the cubital trimline
    • the mediolateral suspensors
    • the amount of suspension and the amount of comfort and ROM
  • Design of the socket depends on the patient’s characteristics
    • Limb length
    • Limb presentation
    • Functional goals
Trimlines extend higher on the self-suspension socket as compared to the hinged socket design.
Approx year Socket design
1960s Muenster Socket Design
1970s Northwestern University Socket Design
1970s Modified Ottobock Socket Design: revision of the Muenster design to allow greater ROM by applying the Northwestern principles of an anterior ML pressure over the anterior epicondyles
2000 Anatomically Contoured and Controlled Interface (ACCI)
2000 Transradial Anatomically Contoured (TRAC) Interface (Socket Design)

IN GENERAL:

  • Longer than 55% may benefit from NU design
  • To allow great ROM – ACCI design
  • 50-30% Otto Bock Modified design
  • 30% or less may require classic Muenster design
Modified Ottobock Socket Design
ACCI Socket design

 

License

Upper Limb Prosthetics and Orthotics: Techniques Copyright © by Sue Spaulding. All Rights Reserved.

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