By Howard Choi, Ross Sugar, David E. Fish, Matthew Shatzer, Brian Krabak
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The posterior rim provides ischial-gluteal weight bearing and is contoured for the ischial tuberosity and gluteal muscles. These features improve stability, particularly for shorter residual limbs. The narrow mediolateral design also provides a more efficient energy cost of ambulation than the narrow AP design at high speeds. The normal shape normal alignment (NSNA) and contoured adducted trochanteric-controlled alignment method (CAT-CAM) are 2 narrow M-L designs. Figures courtesy of Tan J: Practical Manual of PM&R.
The narrow mediolateral design also provides a more efficient energy cost of ambulation than the narrow AP design at high speeds. The normal shape normal alignment (NSNA) and contoured adducted trochanteric-controlled alignment method (CAT-CAM) are 2 narrow M-L designs. Figures courtesy of Tan J: Practical Manual of PM&R. Mosby, 1998. 2. Selected suspension options Suction - Subatmospheric socket pressure maintains prosthetic attachment during swing phase. The sock bandage is pulled through a one-way valve hole.
Congenital limb deficiency comprises ~5% of all amputations. 3. Foot amputation levels. Mnemonic: the Chopart is shorter; the Lisfranc is longer. 2 References: 1. Eftekhari N: Amputation rehabilitation. : PMR Secrets, 2nd ed. Hanley & Belfus, 2002. 1,3 courtesy of Tan J: Practical Manual of PM&R. Mosby, 1998. 2 courtesy of Muilenberg AL: A Manual for Above-Knee Amputees, 4th ed. The Academy of Orthotists and Prosthetists, 1994. 33 Preferred mature residual limb length and shape Transhumeral - Cylindrical appendage with retention of the deltoid tuberosity.