Prosthetics Assessment Quiz

The prosthesis should be the same as what was prescribed by the doctor. If it's a recheck, make sure any previous recommendations have been implemented.

The patient needs to be able to easily put on the prosthetic leg.

The patient should be able to stand comfortably with the prosthetic limb. The distance between the heels should not be greater than 6 inches.

The prosthesis should be aligned correctly so the patient doesn't feel unstable or pushed backward.

The prosthesis should be aligned so that the shoe sits flat on the ground with no pressure on the outside or inside of the socket.

The prosthetic leg should be the right length for the patient.

When the patient lifts the prosthetic leg, there should be minimal movement between the stump and the socket.

These walls should be tall enough to provide support but not too restrictive. They should be in contact with specific anatomical landmarks.

The ischial tuberosity should not be too far forward in the socket, and should not rest on the inner edge of the ischial seat.

The ischial tuberosity should not be too far back in the socket. This can cause pressure on the hamstring tendons and gluteal muscles, and may cause burning or tightness.

The ischial tuberosity should not be too far inside the socket. This can cause discomfort in the adductor region.

If the ischial tuberosity is displaced medially, it may be due to a small mediolateral dimension or a downward slant of the ischial seat. It can cause tightness in the groin area.

The prosthesis should be aligned so the patient doesn't feel unstable or pushed backward.

The prosthesis should be aligned so that the shoe sits flat on the ground with no pressure on the outside or inside of the socket.

The walls of the socket should be tall enough to provide support but not too restrictive. They should be in contact with specific anatomical landmarks.

The knee joint in the prosthetic leg should be stable when bearing weight and should return to full extension after being struck with moderate force. This ensures the prosthesis won't buckle under pressure.

The prosthetic knee should be aligned correctly so that the patient doesn't require excessive muscular effort to keep the knee from buckling. This ensures proper weight distribution and prevents strain.

The back wall of the prosthetic socket should be parallel to the ground to evenly distribute weight between the ischium and glutes. If it's not parallel, pressure and discomfort may occur.

Pressure on the sensitive perineum area (between the legs) from the socket can be extremely uncomfortable. Check if the patient feels any pressure in this region for comfort and skin health.

The outer rim of the socket should not press against the sensitive inner part of the thigh (adductor roll). This pressure can be uncomfortable and lead to skin irritation.

The anterior, medial, and lateral walls of the prosthetic socket need to be the right height to provide support, but not restrict movement. They should contact specific body landmarks for a good fit.

The patient should be able to easily lift the prosthetic leg with minimal movement between the stump and socket. This indicates a good fit and proper alignment.

A situation where the socket doesn't fit properly and puts pressure on the sensitive tissues in the perineum, the area between the anus and genitals.

A potential cause of perineal pressure, where the socket is too narrow on the inside, putting pressure on the soft tissues.

The anterior wall of the socket needs to offer enough resistance to prevent the stump from sliding forward.

A posture where the pelvis is tilted forward, which can contribute to pressure on the perineum.

A muscle in the thigh (adductor longus) should be properly aligned in the socket. If it's not, it can cause pressure.

The medial wall (inside part) of the socket should not be too high, as it can lead to pressure.

The socket should be the right length from front to back, too much space can lead to pressure.

When a part of the thigh muscle folds inwards, creating pressure in the socket.

The Silesian bandage should be positioned correctly to avoid pressure points.

The pelvic band should fit snugly around the hips to avoid excessive movement.

When the patient walks, the suction socket should stay in place on the stump. There shouldn't be any up and down movement (piston action) of the stump in the socket.

During walking, there should be continuous contact between the stump and the socket, even as the leg swings and stands. This ensures proper pressure distribution and prevents edema.

The socket needs to be designed and fit correctly so that the patient can easily walk up and down slopes and stairs without difficulty, pain, or instability.

If there's noise from the suction socket, it means air is escaping, usually because the socket isn't fitting properly. This can lead to poor suction and instability.

If the amputee has to constantly push or move their stump to keep the socket in place, something is wrong. The socket should fit securely without extra effort.

The socket has a valve that controls suction. If there's glue, powder, or debris in the valve, it can block the flow of air, causing problems with suction.

If the socket isn't sealing properly, air can leak in, affecting the suction. Make sure all the edges of the valve are properly sealed.

This is a common issue among amputees -- the socket fit needs to be carefully adjusted so that it doesn't pinch or compress any skin folds or scar tissue.

The metal band should extend approximately 1 inch medial to the anterior superior spine anteriorly and 1/2 to 1 inch lateral to the posterior superior spine posteriorly on the amputated side for short stumps. It may be shorter posteriorly for longer stumps, but not anteriorly. Extending too far posteriorly could irritate the patient's back.

The pelvic belt should pass around the body between the iliac crest and the greater trochanter, without pressing on the anterior superior iliac spine. It should be angled to fit the pelvis's contour to prevent it from riding up on the sound side.

The pelvic joint should be set slightly ahead and above the greater trochanter, remaining parallel to the plane of progression for congruent axes. For short stumps, a slight internal rotation (not exceeding 10°) is acceptable while keeping the joint axis perpendicular to the ground.

The valve should be located on the anteromedial aspect of the prosthesis, preferably more anteriorly in a total-contact socket. It should have sufficient vertical inclination to minimize friction on the pull sock and prevent air entrapment. In an open-end socket, the valve should be placed as far below the stump as the seal allows.

The socket should remain securely on the stump while the patient is seated. If the socket moves, it could be due to poor pelvic joint placement, loss of suction, or pressure on the abdomen/crotch.

The socket should fit snugly against the stump, ensuring no gaps in the rectus femoris or gluteal channels. A poorly fitting socket can lead to loss of suction and discomfort.

The socket should not exert pressure on the abdomen or crotch, as this might cause the socket to come off the stump.

Anteroposterior alignment ensures the patient doesn't feel unstable or pushed backward. Mediolateral alignment ensures the shoe sits flat on the ground without pressure on the outside or inside of the socket. Both are crucial for stability and comfort.