Catalogue of Prostheses (English) - Rizzoli Ortopedia

Catalogue of Prostheses (English) - Rizzoli Ortopedia Catalogue of Prostheses (English) - Rizzoli Ortopedia

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SOCKETS Under-patellar support The top edge of the socket covers at the front the lower half of the femoral condyles, while the top edge of the back wall is in line with the knee joint. The stump rests on this type of socket mainly: • on the under-patellar area with depression of the socket at this point • on the stabilizing thrust at the centre of the rear wall • on the entire surface of the stump, especially on the soft parts, freeing the bone protrusions and tendons of pressure. This socket is for patients with a low level of activity. FUNCTIONAL NEEDS LOW MEDIUM TO-LOW Grip on the condyles The front wall of the socket is level with the line of the knee joint and is well supported by the patellar tendon. The stump is held by two condyloid joints moulded on the femoral condyles that also ensure lateral stability. There is under-patellar support and a stabilizing counter-thrust in the popliteus. This socket is for patients who have short stumps or a high level of activity. FUNCTIONAL NEEDS MEDIUM TO-HIGH high PTTR (Protesi Temporanea Transtibiale Rizzoli, or Rizzoli’s Temporary Transtibial Prosthesis) This temporary socket is the evolution of the socket with under-patellar support and has the same key principles. It is softer in form, however, and the thrust is less invasive. The stump is held by a silicone liner connected to the socket by means of a pin or thread system. It is for all types of stump. FUNCTIONAL NEEDS LOW MEDIUM TO-LOW MEDIUM TO-HIGH high 10

CUFFIE SOCKETS Four-sided socket It is so called on account of its shape in the proximal area with four irregular sides with indentations and protrusions. The indentations apply pressure on certain areas of the soft tissue to help support the weight, while the protrusions avoid excessive pressure on contracting muscle, tendons and prominent osseous points. It is for people who need good static stability, for flaccid stumps or for people with a low level of activity. FUNCTIONAL NEEDS BASSE LOW Ischium containment The oval socket, unlike the four-sided one, is relatively wide between the front and back and relatively narrow between the sides. The distribution of pressure during the static and dynamic phase of walking is spread evenly on the stump. The distal end receives a load no greater than the other parts of the stump. This makes the socket particularly suited to patients with short stumps or with a high level of activity. FUNCTIONAL NEEDS MEDIUM TO-HIGH high AICS® (Adjustable Ischium Containment Socket) This is a socket for temporary prostheses with a main ischium containment body and an internal component with a regulating device that adjusts the volume to permit optimal control of the prosthesis. It is used together with a liner in silicone suspension that guarantees uniform pressure on the stump and permits non-invasive characterisation of the profile of the socket. FUNCTIONAL NEEDS LOW MEDIUM TO-LOW MEDIUM TO-HIGH high 11

CUFFIE<br />

SOCKETS<br />

Four-sided<br />

socket<br />

It is so called on account <strong>of</strong> its shape in the proximal area<br />

with four irregular sides with indentations and protrusions.<br />

The indentations apply pressure on certain areas <strong>of</strong> the s<strong>of</strong>t<br />

tissue to help support the weight, while the protrusions<br />

avoid excessive pressure on contracting muscle, tendons<br />

and prominent osseous points. It is for people who need<br />

good static stability, for flaccid stumps or for people with a<br />

low level <strong>of</strong> activity.<br />

FUNCTIONAL NEEDS<br />

BASSE LOW<br />

Ischium<br />

containment<br />

The oval socket, unlike the four-sided one, is relatively wide<br />

between the front and back and relatively narrow between<br />

the sides. The distribution <strong>of</strong> pressure during the static and<br />

dynamic phase <strong>of</strong> walking is spread evenly on the stump.<br />

The distal end receives a load no greater than the other<br />

parts <strong>of</strong> the stump. This makes the socket particularly<br />

suited to patients with short stumps or with a high level <strong>of</strong><br />

activity.<br />

FUNCTIONAL NEEDS<br />

MEDIUM<br />

TO-HIGH<br />

high<br />

AICS®<br />

(Adjustable<br />

Ischium<br />

Containment<br />

Socket)<br />

This is a socket for temporary prostheses with a main<br />

ischium containment body and an internal component<br />

with a regulating device that adjusts the volume to permit<br />

optimal control <strong>of</strong> the prosthesis. It is used together<br />

with a liner in silicone suspension that guarantees<br />

uniform pressure on the stump and permits non-invasive<br />

characterisation <strong>of</strong> the pr<strong>of</strong>ile <strong>of</strong> the socket.<br />

FUNCTIONAL NEEDS<br />

LOW<br />

MEDIUM<br />

TO-LOW<br />

MEDIUM<br />

TO-HIGH<br />

high<br />

11

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