Transfemoral prosthetic socket designs: a review of the literature
— University of Strathclyde Skip to main navigation Skip to search Skip to main content University of Strathclyde Home Help & FAQ Home Profiles Research Units Research output Projects Datasets Equipment Student theses Impacts Prizes Activities Search by expertise, name or affiliation Transfemoral prosthetic socket designs: a review of the literature Melissa Brodie, Laura Murray, Anthony McGarry Biomedical Engineering Research output: Contribution to journal › Literature review › peer-review Overview Fingerprint Abstract Introduction:The prosthetic socket is the interface that connects the human body to the artificial limb and allows transmission of body weight and forces during gait. The review purpose is to assess the quality of scientific evidence and compare this for a variety of available transfemoral socket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort, and the advantages/disadvantages associated with each design. Methods: Socket designs included were quadrilateral (quad), ischial containment (IC), Marlo Anatomical Socket, subischial, high-fidelity (HiFi), and the Socket-less Socket. A literature review was conducted in five online databases: Compendex, Embase, PubMed, ProQuest Materials Science, and ProQuest Biological Science, using Boolean search terms and truncation of relevant keywords. Included articles were published between 1989 and 2018. A predetermined methodological criterion was used in conjunction with a modified version of the Oxford Levels of Evidence to assess and grade the quality of selected articles. Results: Thirteen clinical studies were included in this review. Based on the chosen search strategy and quality criterion, this review found a limited, low-quality evidence base for all included socket designs. All articles, except one, compared the various socket designs (quad, quad and MAS, MAS, subischial, and HiFi) against an IC socket as this was deemed the "standard of care" design. Conclusions: Although IC attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provides several advantages/disadvantages. Recommendations are made for future research. Clinical Relevance: Findings from this literature review promote knowledge and understanding of transfemoral socket design by highlighting the underlying theory, strengths, and weaknesses of each design acknowledged to facilitate improved evidence-based practice. Original language English Pages (from-to) e73-e92 Number of pages 20 Journal Journal of Prosthetics and Orthotics Volume 34 Issue number 2 DOIs https://doi.org/10.1097/JPO.0000000000000395 Publication status Published - 18 Nov 2021 Keywords transfemoral socket interface biomechanics Access to Document 10.1097/JPO.0000000000000395 Embargoed Document Brodie-etal-JPO-2021-Transfemoral-prosthetic-socket-designs-a-review-of-the-literature Accepted author manuscript, 884 KB Licence: CC BY-NC 4.0 Embargo ends: 16/11/22 Cite this APA Author BIBTEX Harvard Standard RIS Vancouver Brodie, M., Murray, L., & McGarry, A. (2021). Transfemoral prosthetic socket designs: a review of the literature. Journal of Prosthetics and Orthotics, 34(2), e73-e92. https://doi.org/10.1097/JPO.0000000000000395 Brodie, Melissa ; Murray, Laura ; McGarry, Anthony. / Transfemoral prosthetic socket designs : a review of the literature. In: Journal of Prosthetics and Orthotics. 2021 ; Vol. 34, No. 2. pp. e73-e92. @article{5c635403520d4fd39d0d501ca0dbe670, title = "Transfemoral prosthetic socket designs: a review of the literature", abstract = "Introduction:The prosthetic socket is the interface that connects the human body to the artificial limb and allows transmission of body weight and forces during gait. The review purpose is to assess the quality of scientific evidence and compare this for a variety of available transfemoral socket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort, and the advantages/disadvantages associated with each design.Methods: Socket designs included were quadrilateral (quad), ischial containment (IC), Marlo Anatomical Socket, subischial, high-fidelity (HiFi), and the Socket-less Socket. A literature review was conducted in five online databases: Compendex, Embase, PubMed, ProQuest Materials Science, and ProQuest Biological Science, using Boolean search terms and truncation of relevant keywords. Included articles were published between 1989 and 2018. A predetermined methodological criterion was used in conjunction with a modified version of the Oxford Levels of Evidence to assess and grade the quality of selected articles.Results: Thirteen clinical studies were included in this review. Based on the chosen search strategy and quality criterion, this review found a limited, low-quality evidence base for all included socket designs. All articles, except one, compared the various socket designs (quad, quad and MAS, MAS, subischial, and HiFi) against an IC socket as this was deemed the {"}standard of care{"} design.Conclusions: Although IC attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provides several advantages/disadvantages. Recommendations are made for future research.Clinical Relevance: Findings from this literature review promote knowledge and understanding of transfemoral socket design by highlighting the underlying theory, strengths, and weaknesses of each design acknowledged to facilitate improved evidence-based practice.", keywords = "transfemoral, socket, interface, biomechanics", author = "Melissa Brodie and Laura Murray and Anthony McGarry", year = "2021", month = nov, day = "18", doi = "10.1097/JPO.0000000000000395", language = "English", volume = "34", pages = "e73--e92", journal = "Journal of Prosthetics and Orthotics", issn = "1040-8800", number = "2", } Brodie, M, Murray, L & McGarry, A 2021, 'Transfemoral prosthetic socket designs: a review of the literature', Journal of Prosthetics and Orthotics, vol. 34, no. 2, pp. e73-e92. https://doi.org/10.1097/JPO.0000000000000395 Transfemoral prosthetic socket designs : a review of the literature. / Brodie, Melissa; Murray, Laura; McGarry, Anthony. In: Journal of Prosthetics and Orthotics, Vol. 34, No. 2, 18.11.2021, p. e73-e92. Research output: Contribution to journal › Literature review › peer-review TY - JOUR T1 - Transfemoral prosthetic socket designs T2 - a review of the literature AU - Brodie, Melissa AU - Murray, Laura AU - McGarry, Anthony PY - 2021/11/18 Y1 - 2021/11/18 N2 - Introduction:The prosthetic socket is the interface that connects the human body to the artificial limb and allows transmission of body weight and forces during gait. The review purpose is to assess the quality of scientific evidence and compare this for a variety of available transfemoral socket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort, and the advantages/disadvantages associated with each design.Methods: Socket designs included were quadrilateral (quad), ischial containment (IC), Marlo Anatomical Socket, subischial, high-fidelity (HiFi), and the Socket-less Socket. A literature review was conducted in five online databases: Compendex, Embase, PubMed, ProQuest Materials Science, and ProQuest Biological Science, using Boolean search terms and truncation of relevant keywords. Included articles were published between 1989 and 2018. A predetermined methodological criterion was used in conjunction with a modified version of the Oxford Levels of Evidence to assess and grade the quality of selected articles.Results: Thirteen clinical studies were included in this review. Based on the chosen search strategy and quality criterion, this review found a limited, low-quality evidence base for all included socket designs. All articles, except one, compared the various socket designs (quad, quad and MAS, MAS, subischial, and HiFi) against an IC socket as this was deemed the "standard of care" design.Conclusions: Although IC attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provides several advantages/disadvantages. Recommendations are made for future research.Clinical Relevance: Findings from this literature review promote knowledge and understanding of transfemoral socket design by highlighting the underlying theory, strengths, and weaknesses of each design acknowledged to facilitate improved evidence-based practice. AB - Introduction:The prosthetic socket is the interface that connects the human body to the artificial limb and allows transmission of body weight and forces during gait. The review purpose is to assess the quality of scientific evidence and compare this for a variety of available transfemoral socket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort, and the advantages/disadvantages associated with each design.Methods: Socket designs included were quadrilateral (quad), ischial containment (IC), Marlo Anatomical Socket, subischial, high-fidelity (HiFi), and the Socket-less Socket. A literature review was conducted in five online databases: Compendex, Embase, PubMed, ProQuest Materials Science, and ProQuest Biological Science, using Boolean search terms and truncation of relevant keywords. Included articles were published between 1989 and 2018. A predetermined methodological criterion was used in conjunction with a modified version of the Oxford Levels of Evidence to assess and grade the quality of selected articles.Results: Thirteen clinical studies were included in this review. Based on the chosen search strategy and quality criterion, this review found a limited, low-quality evidence base for all included socket designs. All articles, except one, compared the various socket designs (quad, quad and MAS, MAS, subischial, and HiFi) against an IC socket as this was deemed the "standard of care" design.Conclusions: Although IC attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provides several advantages/disadvantages. Recommendations are made for future research.Clinical Relevance: Findings from this literature review promote knowledge and understanding of transfemoral socket design by highlighting the underlying theory, strengths, and weaknesses of each design acknowledged to facilitate improved evidence-based practice. KW - transfemoral KW - socket KW - interface KW - biomechanics U2 - 10.1097/JPO.0000000000000395 DO - 10.1097/JPO.0000000000000395 M3 - Literature review VL - 34 SP - e73-e92 JO - Journal of Prosthetics and Orthotics JF - Journal of Prosthetics and Orthotics SN - 1040-8800 IS - 2 ER - Brodie M, Murray L, McGarry A. Transfemoral prosthetic socket designs: a review of the literature. Journal of Prosthetics and Orthotics. 2021 Nov 18;34(2):e73-e92. https://doi.org/10.1097/JPO.0000000000000395 Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2022 Elsevier B.V. We use cookies to help provide and enhance our service and tailor content. By continuing you agree to the use of cookies Log in to Pure About web accessibility Contact us
