Adjustable prosthetic limb system

1. An adjustable prosthetic socket system comprising:

a socket frame having a proximal area, a distal area opposite the proximal area, a first component arranged along a first side of the socket system, and a second component arranged along a second side of the socket system opposite the first side, the first component being connected to the second component via a base and comprising an elongate strut having a substantially rectangular configuration;

a tubular insert connected to the socket frame and proximate the base, the tubular insert forming an interior surface of the socket system and comprising a sheet of flexible polymeric material defining a proximal opening and opposite ends that are overlapping and repositionable relative to one another to bifurcate the socket system and vary a size of the proximal opening, the sheet directly engageable with a residual limb received in the tubular insert via the proximal opening;

at least one tensioning element operatively connecting the first component and the second component;

at least one tensioner attached to the at least one tensioning element that selectively tensions the at least one tensioning element, wherein the tubular insert is attached to the first component and the first component is arranged to both pivot and slide inward and outward relative to the second component so that when the at least one tensioning element is selectively tensioned the at least one tensioning element moves the first component and the sheet relative to the second component to suspend a prosthetic limb on the residual limb via pressure applied to the residual limb by the sheet through repositioning the opposite ends of the sheet relative to one another and reducing a circumference of at least one area of the socket system;

a plurality of guides attached to the tubular insert in an area between the first and second components, the at least one tensioning element only being laced between the guides and the second component, wherein the guides are rotatable to facilitate adjustment of a length of the at least one tensioning element and distribute pressure throughout the socket; and

a plurality of lateral members separate from and extending between the guides and the first component, each lateral member having an elongate configuration including a first end attached to the first component and a second end connected between the tubular insert and at least one of the guides.

2. The system of claim 1 , wherein the at least one tensioner controls the length of the at least one tensioning element to adjust a circumferential size of the tubular insert.

3. The system of claim 1 , further comprising a longitudinal member having an elongate configuration extending between the lateral members.

4. The system of claim 1 , wherein the tubular insert is attached to each of the first component and the second component.

5. The system of claim 1 , wherein the tubular insert defines at least one opening for attaching the tubular insert to at least one of the first component and the second component.

6. The system of claim 1 , wherein at least one of the first component and the second component define a plurality of perforations arranged to provide ventilation between the tubular insert and the socket frame.

7. The system of claim 1 , wherein the tubular insert includes distal padding to provide a cushion between a distal end of the residual limb and the socket frame.

8. The system of claim 1 , wherein the tubular insert distributes pressure from the first and second components to the residual limb.

9. The system of claim 1 , wherein the tubular insert is reinforced in an anterior area.

10. A prosthetic system comprising:

an adjustable socket system including:

a socket frame having a proximal area, a distal area opposite the proximal area, a first component comprising an elongate strut having a substantially rectangular configuration arranged along a first side of the socket frame, and a second component arranged along a second side of the socket frame opposite the first side, the first component being connected to the second component via a base;

a tubular insert connected to the socket frame and proximate the base, the tubular insert forming an interior surface of the socket system and comprising a sheet of flexible polymeric material defining a proximal opening and opposite ends that are overlapping and repositionable relative to one another to bifurcate the socket system and vary a size of the proximal opening, the sheet directly engageable with a residual limb received in the tubular insert via the proximal opening;

at least one tensioning element operatively connecting the tubular insert to at least one of the first component and the second component;

at least one tensioner attached to the at least one tensioning element that selectively tensions the at least one tensioning element, wherein the tubular insert is attached to the first component and the first component is arranged to both pivot and slide inward and outward relative to the second component so that the at least one tensioning element moves the first component and the sheet relative to the second component to suspend a prosthetic limb on the residual limb via pressure applied to the residual limb by the sheet through repositioning the opposite ends of the sheet relative to one another and reducing a circumference of at least one area of the adjustable socket system when the at least one tensioning element is selectively tensioned; and

a plurality of guides attached to the tubular insert in an area between the first and second components, the at least one tensioning element only being laced between the guides and the second component, wherein the guides are arranged to facilitate adjustment of a length of the at least one tensioning element and distribute pressure throughout the adjustable socket system;

a plurality of lateral members separate from and extending between the guides and the first component, each lateral member having an elongate configuration including a first end attached to the first component and a second end connected between the tubular insert and at least one of the guides;

a prosthetic foot; and

a pylon extending between the prosthetic foot and the adjustable socket system.

11. The system of claim 1 , wherein a thickness of the tubular insert is greater toward the first component than the second component.