46 | Ottobock
6.2.9 Positioning the prosthetic socket
►
For positioning the prosthetic socket, note Fig.
22
on page 16 and the instructions that fol
low.
Thomas test
►
Place the flat hand
2
under the lumbar spine.
►
Instruct the recumbent patient
1
to flex the contralateral knee joint and hip joint.
►
Bring the residual limb to hip flexion until the hollow back disappears.
►
Extend the residual limb slowly by pushing it until the pressure of the spine on the back of
your hand diminishes.
►
In this residual limb position, measure angle α of the flexion malposition.
Socket flexion
►
Based on angle α, determine the optimum socket flexion β
3
according to the illustration.
►
Set the socket flexion β so that the lateral socket reference point
4
lies on the alignment ref
erence line.
INFORMATION:
If the socket reference point
5
cannot be positioned on the alignment reference
line with the adapters that are installed, special adapters have to be used (
6
examples of
adapters).
Socket adduction
►
Based on the socket length, determine the required angle γ
7
for socket adduction, and
reconcile this with a possible residual limb malposition.
►
Set the socket adduction γ so that the frontal socket reference point
8
lies on the alignment
reference line.
INFORMATION:
If the socket reference point
9
cannot be positioned on the alignment reference
line with the adapters that are installed, special adapters have to be used (
10
examples of
adapters).
6.2.10 Shortening the tube adapter
CAUTION
Incorrect processing of tube
Fall due to damage to the tube
►
Do not clamp the tube into a vice.
►
For shortening the tube, use only a tube cutter.
INFORMATION:
The overall system height of all prosthetic components corresponds to the sock
et-floor measurement (see Fig.
23
on page 17).
►
Shorten and deburr the tube adapter.
6.2.11 Mounting the lock slide and lock release cable
►
CAUTION!
Use the lock slide only as shown in Fig.
24
on page 18 and mount it together with
the lock release cable.
6.2.12 Preventing damage at maximum flexion
►
NOTICE!
Perform the steps shown in Fig.
25
on page 18 to prevent damage at maximum flex
ion.
►
Besides the socket design measures shown in the figure, ensure that no metal is touching the
product in the marked support area.
►
After utilising the maximum flexion, check the marked support area for damage.
►
CAUTION!
In case of deformation, damage and cracks, the prosthetic knee joint needs to be
replaced entirely.
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