questions with answers |\ |\
Describe standard Trans-Tibial prosthesis bench alignment
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- CORRECT ANSWERS ✔✔1) Socket Flexion 5 degrees - 7
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degrees
2) Foot Inset 1/2" - 0"
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3) Socket Anterior Position to foot bolt
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should be 1" - 1 1/2" |\ |\ |\ |\ |\
4) Medial border of foot on line of progression
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A 23 year old male is presented at a clinic you attend. He
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is wearing a PTB hard socket, with silicone distal end pad.
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He has an adherent scar that is causing socket problems.
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Starting with |\
the simplest and going to the most complicated, name all
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the solutions that you know. List as many insert materials
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as possible. - CORRECT ANSWERS ✔✔1 - Use prosthetic
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sheath
2 - Proper sock fit (ply)
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3 - Evaluate socket fit, clearance for anterior, distal tibia,
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clearance for scar, proper A/P, |\ |\ |\ |\
proper weight bearing areas, use pull sock to don
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prosthesis
,4 - Side joints and lacer
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5 - Quad brim, ischial weight bearing design
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6 - Design of soft insert socket Materials: Kemblo, pelite,
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spenco, silicone, urethane elastomer |\ |\ |\
7 - Silipos Sheath
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List 4 prosthetic causes for rapid knee flexion? - CORRECT
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ANSWERS ✔✔1. Socket too far anterior
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2. Heel/lever too long
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3. Patient wearing shoe with different heel height.
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4. Stiff heel action
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A 7 year old male with a Symes amputation is in need of
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a new prosthesis. What would you recommend? List as
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many considerations as possible. - CORRECT ANSWERS
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✔✔RX: PTB with distal end pad (for growth and weight
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bearing), hard socket, SACH foot |\ |\ |\ |\
1. If patient kicks prosthesis off, use waist belt with
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inverted "Y" strap |\ |\
2. Insert is non-hygienic
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, Name all of the Symes prosthesis you know about. Where
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are the advantages and disadvantages of each? -
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CORRECT ANSWERS ✔✔1. Canadian and VAPC types
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Advantages: Don prosthesis easily |\ |\ |\
Medial door stronger than posterior
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2. Expandable Wall
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Advantages: Easy to don, no closures, good for the blind |\ |\ |\ |\ |\ |\ |\ |\ |\
Disadvantages: Limited stretch |\ |\
What causes a Trans Tibial prosthesis to appear to be
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higher than sound leg when sitting? - CORRECT ANSWERS
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✔✔1. Posterior brim too high
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2. Not enough hamstring relief
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3. Incorrect length
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What causes anterior distal tibia pressure? - CORRECT
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ANSWERS ✔✔1. AP to big |\ |\ |\ |\
2. Post-brim too low
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3. Not enough relief
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4. Excessive use of knee extension
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5. Heel lever to long
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6. Excessive initial socket flexion
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