When talking about prosthetics, a bottleneck interface is the most important one. The name given to this type of interface is the socket system. It is the most conventional type of prosthetics, so it requires special attention. This design helps in creating an association between the residual limb and the prosthesis.
A suitable socket system ensures perfect fitting and allows the user to carry enough load. It helps stabilize and control of body posture. It is one of the primary critical factors for the compliance or non-compliance of the prosthetic.
Reason for Rejection of Prosthesis
Recent research in prosthetics have shown that many people reject the socket type. It is because people are not satisfied with it. Some of the issues that the people report are;
1) Poor comfort
2) Reduction in biomechanical functionality
3) Issues with control
63 to 82% of amputees have reported that skin lesion forms on the residual limb, which leads to the abandonment in 25 to 57% of the cases.
Your First Fitting with a New Socket
During the initial phase of the fitting, the Prosthetist will prepare a test socket. It is also called a check socket. This check socket is a clear transparent false prototype. It enables the Prosthetist to look for any pressure or redness of the residual limb.
This test socket serves as a sample for the final socket prosthetic. The patient will suggest improvements in the test socket. The Prosthetist prepares the final socket by keeping these suggestions in mind. The suggestions usually help in the improvement of wearability.
What Happens When You First Get a Prosthesis?
People who get a socket provision usually feel weird at the start. That is because of the placement of the residual limb in a hard encasing. Patients typically have to adjust to the pressure of the casing. Physiotherapy will help you to adjust to walking and standing. You may even experience redness in the start. However, this is not long term and may go away in a few days.
How to Improve Patient Success:
1. The socket must fit well. For this purpose, always pay close attention to the test socket.
2. It is essential that you get accustomed to wearing a liner. This liner or a sock helps to reduce the friction between the residual limb and the hard case.
3. A socket that fits poorly can cause blisters and other skin conditions. It may also cause you to fall frequently. Therefore always find the perfect fit.
Summing it Up
When you get your first prosthesis, you may find it hard to get used to it. However, with regular exercise and practice, you will notice improvement. Perform inspection of the skin of the residual limb daily. Discuss with your Prosthetist if you are experiencing any issues with your prosthesis.
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