General Prosthetic Questions for ABC Written Exam with || || || || || || || ||
accurate detailed solutions || ||
Bench Alignment for TT - ✔✔- 5*to 10* flexion
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-2* to 5* adduction
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-1/2" to 1" inset
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-3* to 5* outward rotation or parallel to the LOP
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-37mm posterior (18-65mm range)|| || ||
-1/4" anterior from ankle bolt to midline
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Bench Alignment for TF - ✔✔- 5* flexion + flexion contracture
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- Long's line + 2* to 5 *
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-outset foot 1" from ishium + 1*-2* ext
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-5* external rotation of the knee
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Cuff strap placement - ✔✔-1cm posterior and 1cm proximal to midline at PTB level
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Silesian Belt placement - ✔✔-1/4" posterior and proximal to G.T. (Lateral)
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-1/4" proximal and medial to bisection (Anterior)
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Scrapa's Triangle - ✔✔-Ingiunal Ligament || || || ||
-Sartorious
-ADDUCTOR Longus ||
Cycle the Elbow in TH prosthesis - ✔✔-3/4" excursion
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,2
- 2lbs force
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Operation of TD and Elbow lift (Excursion) - ✔✔-2 1/2" to lift elbow
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-2" for TD || ||
Starting point for EFA - ✔✔- 1" distal and 1" anterior to elbow center
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Hip Bench Alignment - ✔✔-joint anterior to knee center 25-50mm
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-reference line knee center to 37mm posterior to heel || || || || || || || ||
-1/2" anterior and 1" proximal to GT
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Subischial Triangle - ✔✔-Inferior Pubic Ramus || || || || ||
-Gracilis ||
-Semitendenosis
Adduction of the lateral wall of the socket - ✔✔Re-establishes the normal angulation (6-7*)
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of the femoral shaft, thereby placing the hip abductor muscles under their normal operation
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tension
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Proper contouring of the lateral wall - ✔✔-Allows for even distribution of force over the
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lateral aspect of the residual limb, specifically between the greater trochanter and the lateral
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distal aspect of the femur
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-Relief for the lateral distal end of the femur and for GT
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High medial wall - ✔✔-Proximal medial wall must be high enough to apply counter
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pressure to maintain good contact between the femur and the lateral wall
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, 2
Proper mediolateral dimension of the socket at ischial level - ✔✔-too large an ML will
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reduce the effectiveness of the lateral and medial walls to stabilize the femur
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-Divide the circ of the thigh by pi and subtract 1/4"
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Proper anteroposterior dimension of the socket - ✔✔-too large an AP will tend to permit the
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IT to be displaced forward, off of the ischial seat.
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-correct AP determined by subtracting 1/2" from the anatomically determined distance
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between the ADDUCTOR longus tendon and the IT || || || || || || ||
Pressure on Scarpa's Triangle provides - ✔✔-relieves pressure at initial contact
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-comfort for sitting || ||
-relieves the ADDUCTOR longus tendon || || || ||
-controls rotation ||
-keeps pelvis from rotating|| || ||
-IT on the seat
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Anterior-posterior forces - ✔✔-concentrated in the anterior distal tibia and posterior || || || || || || || || || || ||
proximal soft tissue || ||
-Socket provides even pressure distribution in the popliteal area and anterior distal relief to
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prevent excessive pressure || ||
Media-lateral forces - ✔✔-forces at the proximal medial and distal lateral area force a varum || || || || || || || || || || || || || ||
moment at midstance
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-Socket must have relief for the distal lateral fibula and lateral stabilizing pressure over the
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shaft of the fibula and anterior compartment.
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Sheer force - ✔✔-Occurs when the socket moves in a direction opposite to the residual
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limb's motion. ||