Transtibial prosthetic socket design and suspension mechanism: a literature review
— 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 Transtibial prosthetic socket design and suspension mechanism: a literature review Nadhira Al Ahuaili, Navid Aslani, Lynsey Duff, Anthony McGarry Biomedical Engineering Research output: Contribution to journal › Article › peer-review 1 Citation (Scopus) 49 Downloads (Pure) Overview Fingerprint Abstract Study design: A literature review. Background: The body-weight of the prosthetic user is supported and distributed by the prosthetic socket during the stance phase of gait. Throughout swing phase, inertial forces (pressure and shear) are exerted by the socket suspension-mechanism onto the residuum to facilitate suspension. Objectives: To identify and investigate available evidence in Trans-Tibial (TT) socket design and suspension to highlight the most effective weight transfer mechanisms and suspension techniques. Methods: A literature research was conducted comprising two parts: socket design and suspension. Boolean search terms and truncation were used using relevant keywords in online search engines to obtain precise results. Results: 17 papers which met inclusion criteria were reviewed. Conclusions: A conclusion on whether socket preference is due to the suspension-mechanism or socket design itself cannot be drawn. PTB sockets are still successfully used and in some studies preferred over TSB. Biomechanically, however, TSB sockets allow for a more even weight-distribution when combined with suction, particularly VASS. Some limited evidence exists to support that such designs may have some effect on wound healing and early ambulation. Further research must be conducted to standardise acclimation periods. Crossover randomised controlled trials (RCT) with larger sample sizes are required to establish an evidence base to improve clinical practice. Abstract word count: 207 words. Original language English Pages (from-to) 224–245 Number of pages 22 Journal Journal of Prosthetics and Orthotics Volume 31 Issue number 4 DOIs https://doi.org/10.1097/JPO.0000000000000258 Publication status Published - 1 Oct 2019 Keywords Transtibial prosthetic socket design suspension mechanisms biomechanics lower limb amputation TT amputation Access to Document 10.1097/JPO.0000000000000258 Ahuaili-etal-JPO-2019-Transtibial-prosthetic-socket-design-and-suspension-mechanism-a-literature-reviewAccepted author manuscript, 540 KBLicence: CC BY-NC-ND 4.0 Link to publication in Scopus Fingerprint Dive into the research topics of 'Transtibial prosthetic socket design and suspension mechanism: a literature review'. Together they form a unique fingerprint. Prosthetics Engineering & Materials Science 100% Search engines Engineering & Materials Science 18% View full fingerprint Cite this APA Author BIBTEX Harvard Standard RIS Vancouver Ahuaili, N. A., Aslani, N., Duff, L., & McGarry, A. (2019). Transtibial prosthetic socket design and suspension mechanism: a literature review. Journal of Prosthetics and Orthotics, 31(4), 224–245. https://doi.org/10.1097/JPO.0000000000000258 Ahuaili, Nadhira Al ; Aslani, Navid ; Duff, Lynsey ; McGarry, Anthony. / Transtibial prosthetic socket design and suspension mechanism : a literature review. In: Journal of Prosthetics and Orthotics. 2019 ; Vol. 31, No. 4. pp. 224–245. @article{b2487ea2a57346b98305b349d3ac98f3, title = "Transtibial prosthetic socket design and suspension mechanism: a literature review", abstract = "Study design: A literature review.Background: The body-weight of the prosthetic user is supported and distributed by the prosthetic socket during the stance phase of gait. Throughout swing phase, inertial forces (pressure and shear) are exerted by the socket suspension-mechanism onto the residuum to facilitate suspension.Objectives: To identify and investigate available evidence in Trans-Tibial (TT) socket design and suspension to highlight the most effective weight transfer mechanisms and suspension techniques.Methods: A literature research was conducted comprising two parts: socket design and suspension. Boolean search terms and truncation were used using relevant keywords in online search engines to obtain precise results.Results: 17 papers which met inclusion criteria were reviewed.Conclusions: A conclusion on whether socket preference is due to the suspension-mechanism or socket design itself cannot be drawn. PTB sockets are still successfully used and in some studies preferred over TSB. Biomechanically, however, TSB sockets allow for a more even weight-distribution when combined with suction, particularly VASS. Some limited evidence exists to support that such designs may have some effect on wound healing and early ambulation. Further research must be conducted to standardise acclimation periods. Crossover randomised controlled trials (RCT) with larger sample sizes are required to establish an evidence base to improve clinical practice.Abstract word count: 207 words. ", keywords = "Transtibial prosthetic socket design, suspension mechanisms, biomechanics, lower limb amputation, TT amputation", author = "Ahuaili, {Nadhira Al} and Navid Aslani and Lynsey Duff and Anthony McGarry", year = "2019", month = oct, day = "1", doi = "10.1097/JPO.0000000000000258", language = "English", volume = "31", pages = "224–245", journal = "Journal of Prosthetics and Orthotics", issn = "1040-8800", number = "4", } Ahuaili, NA, Aslani, N, Duff, L & McGarry, A 2019, 'Transtibial prosthetic socket design and suspension mechanism: a literature review', Journal of Prosthetics and Orthotics, vol. 31, no. 4, pp. 224–245. https://doi.org/10.1097/JPO.0000000000000258 Transtibial prosthetic socket design and suspension mechanism : a literature review. / Ahuaili, Nadhira Al; Aslani, Navid; Duff, Lynsey; McGarry, Anthony. In: Journal of Prosthetics and Orthotics, Vol. 31, No. 4, 01.10.2019, p. 224–245. Research output: Contribution to journal › Article › peer-review TY - JOUR T1 - Transtibial prosthetic socket design and suspension mechanism T2 - a literature review AU - Ahuaili, Nadhira Al AU - Aslani, Navid AU - Duff, Lynsey AU - McGarry, Anthony PY - 2019/10/1 Y1 - 2019/10/1 N2 - Study design: A literature review.Background: The body-weight of the prosthetic user is supported and distributed by the prosthetic socket during the stance phase of gait. Throughout swing phase, inertial forces (pressure and shear) are exerted by the socket suspension-mechanism onto the residuum to facilitate suspension.Objectives: To identify and investigate available evidence in Trans-Tibial (TT) socket design and suspension to highlight the most effective weight transfer mechanisms and suspension techniques.Methods: A literature research was conducted comprising two parts: socket design and suspension. Boolean search terms and truncation were used using relevant keywords in online search engines to obtain precise results.Results: 17 papers which met inclusion criteria were reviewed.Conclusions: A conclusion on whether socket preference is due to the suspension-mechanism or socket design itself cannot be drawn. PTB sockets are still successfully used and in some studies preferred over TSB. Biomechanically, however, TSB sockets allow for a more even weight-distribution when combined with suction, particularly VASS. Some limited evidence exists to support that such designs may have some effect on wound healing and early ambulation. Further research must be conducted to standardise acclimation periods. Crossover randomised controlled trials (RCT) with larger sample sizes are required to establish an evidence base to improve clinical practice.Abstract word count: 207 words. AB - Study design: A literature review.Background: The body-weight of the prosthetic user is supported and distributed by the prosthetic socket during the stance phase of gait. Throughout swing phase, inertial forces (pressure and shear) are exerted by the socket suspension-mechanism onto the residuum to facilitate suspension.Objectives: To identify and investigate available evidence in Trans-Tibial (TT) socket design and suspension to highlight the most effective weight transfer mechanisms and suspension techniques.Methods: A literature research was conducted comprising two parts: socket design and suspension. Boolean search terms and truncation were used using relevant keywords in online search engines to obtain precise results.Results: 17 papers which met inclusion criteria were reviewed.Conclusions: A conclusion on whether socket preference is due to the suspension-mechanism or socket design itself cannot be drawn. PTB sockets are still successfully used and in some studies preferred over TSB. Biomechanically, however, TSB sockets allow for a more even weight-distribution when combined with suction, particularly VASS. Some limited evidence exists to support that such designs may have some effect on wound healing and early ambulation. Further research must be conducted to standardise acclimation periods. Crossover randomised controlled trials (RCT) with larger sample sizes are required to establish an evidence base to improve clinical practice.Abstract word count: 207 words. KW - Transtibial prosthetic socket design KW - suspension mechanisms KW - biomechanics KW - lower limb amputation KW - TT amputation UR - http://www.scopus.com/inward/record.url?scp=85077579584&partnerID=8YFLogxK U2 - 10.1097/JPO.0000000000000258 DO - 10.1097/JPO.0000000000000258 M3 - Article AN - SCOPUS:85077579584 VL - 31 SP - 224 EP - 245 JO - Journal of Prosthetics and Orthotics JF - Journal of Prosthetics and Orthotics SN - 1040-8800 IS - 4 ER - Ahuaili NA, Aslani N, Duff L, McGarry A. Transtibial prosthetic socket design and suspension mechanism: a literature review. Journal of Prosthetics and Orthotics. 2019 Oct 1;31(4):224–245. https://doi.org/10.1097/JPO.0000000000000258 Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2021 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
