Prosthetist – professional who designs, fabricates, and fits the prosthesis (includes a socket and all associated components)
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Prosthesis – an artificial body part that substitutes or supplements a missing part of the body
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Socket – a portion of the prosthesis that surrounds the residual limb
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Liner – a material placed directly over the skin, a barrier between the socket and the residual limb
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Sock – a material of varying ply to adjust the fit of the socket during times of volume changes
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Prosthetic Technology – refers to the componentry that makes up the prosthesis
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Suspension – how the prosthesis attaches to the body
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Terminal Device – componentry on the distal aspect (furthest from the trunk/body) – passive, moveable, articulated, maybe activity specific
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Components of a Prosthesis
(Hanger Clinic, n.d.; Latour, 2015)
Interface Options
(Hanger Clinic, n.d.; Harold, n.d., Latour, 2015)
Sockets
Upper Limb
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Plug Fit
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North Western
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Muenster
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Strathclyde Supra Olecranon
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Split Design
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Panel Opening
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Over Shoulder Design
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Below Shoulder Design
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Lower Limb
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Patellar Tendon Bearing
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Total Surface Bearing
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Quadrilateral
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Ischial Ramus Containment
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Sub-Ischial
Liners
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Thermoplastic Elastomer (TPE) or Gel Liners
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Softest and Most Flexible
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Silicone Liners
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Less Flexible, More Durable
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Urethane Liners
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Stiffest, Least Flexible
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High Durability
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Distribute Pressure Most Evenly
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Suspension Options
Upper Limb
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Harnessing
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Cutaneous Anchor
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Supracondylar
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Muenster
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Pin-Lock Liner
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Neoprene Sleeve
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Lower Limb
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Lanyard
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Locking Liner
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External Sleeve
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Suction
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With Seal-In Liner
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Without Liner
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Active Vacuum Sockets
REFERENCES
Hanger Clinic. (n.d.). Sockets, liners, & accessories. https://hangerclinic.com/prosthetics/sockets-liners-accessories/
Harold, N. (n.d.). Upper limb prosthetic and orthotic components: Sockets. https://sites.google.com/site/pando2016/sockets-and-suspension
Latour, D. (2015, May 4). Series: Upper Limb Prosthetics. [On-Demand Webinar]. OccupationalTherapy.com https://www.occupationaltherapy.com/ot-ceus/course/upper-limb-prosthetic-series-2441