Suspension systems in transfemoral prostheses大腿假肢悬吊系统.pptVIP

Suction suspension Socket volume decreased 减少relative to person Used with rigid or flexible socket materials Interface 界面between skin and residuum Pull through sock or elastic bandage to donn Supracondylar suspension TES  TES  Description:Wide neoprene聚氯丁烯 (or similar) waist –band lined with nylon material Function:Belt fits around proximal part of socket and goes around pelvis and waist to suspend prosthesis Indication: Used with suction socket or a primary suspension mechanism Gel liner Lanyard suspension Gel liner Lanyard suspension Suspension systems in transfemoral prostheses suspension methods Silicone or urethane liners 硅树脂 氨基甲酸乙酯 内套 Silesian belt Hip joint and pelvis band Shoulder strap Full suction Partial suction next next Suction suspension Suction suspension concept概念 Requires an air-tight seal气封 Utilises 采用a one-way valve Pressure differential lower air pressure inside than outside (suction) if air leaks泄露 in pressure differential is lost next next next Indications Residuum of sufficient length to maintain suction No volume fluctuations 波动 Healthy skin Good upper limb function Cognitively认知 capable Obese people next Contra indications Extremely short residual limbs Volume fluctuations Deep fissured裂缝 scars that allow air into socket Some skin conditions - draining ulcers排水溃疡, eczema湿疹 Upper limb impairment障碍 Poor balance - may be difficult to donn Some bilateral amputees next Advantages Suspension is part of socket Pistoning is virtually eliminated排除 Improved proprioception本体感觉 Limb feels more part of person No prosthetic socks Help control edema Improved cosmesis next Disadvantages Must have stable volume Impaired upper limb function Hygiene卫生 Problems of suction for young children Short residual limbs are difficult Bilateral amputees - although manage well Cognition