MAJOR CONSIDERATION
Cosmesis –Depending on the width of the residual malleoli and the socket type used, obtaining acceptable cosmesis for the ankle disarticulation prosthesis can be challenging. The wall thickness of the socket itself and any additional interfaces augment the bulkiness of the prosthesis (Figure 2). This is especially noticeable at the distal aspect of the socket where it attaches to the prosthetic foot. This additional bulk, combined with the common need to align the foot in a relatively outset alignment, can make fitting the prosthesis into certain shoe types difficult and result in aesthetic concerns for the patient.
SOCKET TECHNOLOGY
Stovepipe Socket
The aptly named stovepipe socket relies on a custom-designed flexible interface to fill the space between the characteristic contours of the residual limb and an outer rigid socket of generally uniform diameter across its length (the stovepipe shape)
Medial Window Socket-The medial window socket design is another technique for obtaining anatomic suspension . In this design, the rigid socket matches the contours of the residual limb. However, to allow the distal ball of the limb through the narrow channel in the supramalleolar region of the socket, a medial opening is cut out, creating a removable custom panel
CARBON FIBRE PLATE – Chopart is a carbon fibre PLATE designed to be a flexible and durable solution for longer amputation levels and partial foot prostheses.
ANKLE FOOT ORTHOSIS WITH FILLER.
CARBON FIBRE FOOT – fort highly active and athletic users
Request an appointment with your prosthetist to understand what is best suited for you.