Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 6, 2011
   Pages 679 — 696

Abstract —  Prosthetic sockets stabilized by alternating areas of tissue compression and release

Randall D. Alley, CP, LP;1* T. Walley Williams III, MA;2 Matthew J. Albuquerque, CPO;3 David E. Altobelli, MD4

1biodesigns Inc, Thousand Oaks, CA; 2Liberating Technologies Inc, Holliston, MA; 3Next Step Orthotics & Prosthetics Inc, Manchester, NH; 4DEKA Research and Development Corp, Manchester, NH

Abstract — A prosthetist makes a conventional socket by wrapping plaster bandage around the residual limb and using the resulting shell to create a positive model. After he or she modifies the plaster, it is used to create a laminated socket. Such sockets are almost perfect cylinders that encapsulate the limb. The bone is centered in soft, compressible tissue that must move aside before the bone can push against the socket to transmit force or torque to the prosthesis. In a compression/release stabilized (CRS) socket, three or more longitudinal depressions compress and displace tissue between the socket wall and the bone to reduce lost motion when the bone is moved with respect to the socket. Release areas between depressions are opened to accommodate displaced tissue. Without these openings provided, the CRS socket will not function as intended. Often, the release areas of compression are the struts of a carbon-fiber frame, and the regions between struts are left open. A frame with openings may be modified by the prosthetist adding a thin membrane fully surrounding the limb but allowing the membrane and underlying tissue to enter the release openings. The membrane may contain electrodes, and it may constitute a roll-on liner that helps suspend the prosthesis. We introduce three socket designs: transradial, transfemoral, and transhumeral.

Key words: amputation, frame socket, load transmission, prosthetic interface, prosthetic socket, tissue compression, tissue release, transfemoral socket, transhumeral socket, transradial socket.


View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 6
This article and any supplementary material should be cited as follows:
Alley RD, Williams TW III, Albuquerque MJ, Altobelli DE. Prosthetic sockets stabilized by alternating areas of tissue compression and release. J Rehabil Res Dev. 2011; 48(6):679-96.
DOI:10.1682/JRRD.2009.12.0197
ResearcherID: Randall D. Alley, CP, LP: C-8095-2011
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Last Reviewed or Updated  Monday, July 11, 2011 9:18 AM

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