Prosthetics Review

Checkout Procedure Before Prosthesis

  • Checking the Prosthesis:
    • Verify the prosthesis matches the prescription.
    • Assess the quality of workmanship.
    • Inspect straps, edges, cosmetic cover, and rivets.
    • Note: Patient comfort is evaluated after the prosthesis is worn, not before.

PF Slipper Type Prosthesis

  • Advantage:
    • Good cosmesis: The prosthesis fits inside a shoe.
    • Slipper types are favored for aesthetic reasons and shoe compatibility.

Toe Position in PF Prosthesis

  • Correct Toe Position:
    • The average position is 5 degrees toe out or matches the position of the sound foot.
    • Toe alignment aids balance and walking symmetry.

Balance in Bilateral Partial Foot Amputees

  • Problem of Balance:
    • The base of support is more reduced compared to unilateral amputees.
    • Loss of support area affects postural control.

Purpose of the Checkout Procedure

  • Purpose:
    • Ensure optimum fit, function, and cosmesis for the limb user.
    • Comprehensive evaluation of comfort, function, and appearance.

Aim of Prosthetic Fitting

  • Aim:
    • To normalize abnormal gait pattern at toe-off.
    • To normalize the balance.
    • To normalize any supination tendency.
    • Prosthetic fitting addresses multiple gait and posture factors.

Final Instructions During Checkout

  • Instructions:
    • Patient knows how to clean and take care of stump, stump socks, and prosthesis.
    • How to recognize problems with fit and function.
    • Appointment to return for adjustment or repair.
    • Instruction must include stump socks too.

Stage of Checkout Procedure

  • When to Carry Out:
    • Before putting on, static/dynamic alignment, sitting, after removing device, and instruction.
    • Post-removal check is essential to assess skin condition and pressure areas.

Aim of Chopart Prosthesis

  • Aim:
    • To provide good cosmetic appearance and fit into a ready-made shoe.
    • Chopart prostheses are commonly designed for cosmetic and functional footwear use.

AFO Design vs. Slipper Type in PF Amputation

  • Advantage of AFO:
    • Big area, small pressure.
    • AFOs distribute pressure more effectively, reducing the risk of skin damage.