Otto Bock 1E56 Axtion, Instructions For Use Manual

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a–p positioning, middle of the prosthetic foot
Foot size [cm] Mid-foot anterior to the alignment reference line [mm]
29 to 31 30 to 35
TF bench alignment
►
Observe the information in the prosthetic knee joint instructions for use.
5.1.3 Static Alignment
• Ottobock recommends checking the alignment of the prosthesis using
the L.A.S.A.R. Posture and adapting it as needed.
• If necessary, the alignment recommendations (TF modular leg pros­
theses:
646F219*
, TT modular leg prostheses:
646F336*
) may be
requested from Ottobock.
5.1.4 Dynamic Trial Fitting
• Adapt the alignment of the prosthesis in the frontal plane and the sagittal
plane (e.g. by making angle or slide adjustments) to ensure an optimum
gait pattern.
• TT fittings: Make sure that physiological knee movement in the sagittal
and frontal plane is achieved when the leg begins to bear weight after
the heel strike. Avoid medial movement of the knee joint. If the knee joint
moves in the medial direction in the first half of the stance phase, move
the prosthetic foot in the medial direction. If the medial movement occurs
in the second half of the stance phase, reduce the exterior rotation of the
prosthetic foot.
• Remove the adapter cover from the prosthetic foot after completion of
the dynamic trial fitting and gait training exercises.
5.1.4.1 Optimising the heel characteristics
The heel characteristics are optimised by using heel wedges. In case the
heel strike or heel contact is too soft during the mid-stance phase, the heel
can be stiffened by means of a heel wedge.
Two heel wedges are available (transparent=soft, black=hard). Ottobock
recommends starting with the transparent heel wedge.
1) Align the recesses in the heel wedge, in the proximal and posterior dir­
ections.
2) Press the heel wedge (see fig. 2, item 1) between the top and bottom
carbon springs until the heel wedge locks into the recess of the threaded
plate (see fig. 2, item 2).
3) To remove the heel wedge, push it out to the side.
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