"

Transradial Self-Suspension Prosthesis

This quarter we will revisit and build upon the upper limb prosthetic principles that we applied in Fall quarter. In addition to discussing patient-centered care and ICF factors, our first task this quarter involves learning about the various transradial self-suspension socket designs.

Trimlines extend higher on the self-suspension socket as compared to the hinged socket design.

Self-suspension sockets have higher trimlines than hinged sockets. They are designed to capture the skeletal anatomy of the elbow to suspend the prosthesis. This socket design is used for body body-powered and externally-powered prostheses.

Over the years, prosthetists have created various self-suspension socket designs with the primary aims of capturing a secure purchase on the residual limb while maintaining as much comfort as possible.

Approx Year Socket design Unique shape Best limb lengths
1960s Muenster Tight AP 30% or less
1970s Northwestern Tight ML 55% or longer
1970s Modified Ottobock Balanced AP and ML 30-50%
2000 Anatomically Contoured and Controlled Interface (ACCI) ML pressure  anterior to epicondyles
2000 Transradial Anatomically Contoured (TRAC) Interface

 

The following images illustrate unique design features.

Modified Ottobock Socket Design

 

ACCI Socket design

 

 

License

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