Adjustable socket system

1. An adjustable prosthetic socket having proximal and distal ends and an axis extending between the proximal and distal ends, comprising:

a distal base at the distal end of the socket including a first part and a second part slidable relative to the first part and the axis, the distal base attachable to a prosthetic pylon and defining at least in part a limb receiving portion adapted to receive and support a distal end portion of a residual limb;

first and second spines extending upwardly from the distal base toward the proximal end and defining at least part of a circumference of the socket about the axis, the first spine being connected to the first part, and the second spine being connected to the second part via a hinge connection such that the second spine is slidable inward and outward relative to the first spine and foldable about the hinge connection relative to the first spine to selectively adjust the circumference of the socket;

a proximal support connected to the second spine and arranged to distribute pressure from the second spine over a portion of the residual limb;

a tensioning system operatively connected to the first and second spines and arranged to selectively adjust the circumference of the socket, the tensioning system including a dial tensioner.

2. The socket of claim 1 , wherein the dial tensioner is secured to at least one of the first and second spines.

3. The socket of claim 2 , wherein the tensioning system includes at least one tensioning element operatively connected to at least one of the first and second spines, and the dial tensioner is arranged to selectively tension the at least one tensioning element to adjust the circumference of the socket.

4. The socket system of claim 3 , wherein the at least one tensioning element comprises a cable.

5. The socket of claim 1 , wherein the proximal support defines an inner surface arranged to contact and support a part of the residual limb.

6. The socket of claim 5 , wherein an inner surface of the proximal support includes a cushioning material.

7. The socket of claim 5 , wherein the inner surface of the proximal support defines a shape arranged to substantially correspond to a shape of the residual limb.

8. The socket of claim 1 , wherein the proximal support includes one or more wings.

9. The socket of claim 1 , wherein the proximal support is arranged to extend a circumferential distance about the residual limb.

10. The socket of claim 1 , wherein the proximal support is removably attached to the second spine.

11. An adjustable prosthetic socket having proximal and distal ends and an axis extending between the proximal and distal ends, comprising:

a distal base at the distal end of the socket including a first part and a second part slidable relative to the first part and the axis, the distal base defining at least in part a limb receiving portion adapted to receive and support a distal end portion of a residual limb;

first and second spines extending upwardly from the distal base toward the proximal end and defining at least part of a circumference of the socket about the axis, the first spine being connected to the first part, and the second spine being connected to the second part via a hinge connection such that the second spine is slidable inward and outward relative to the first spine and foldable about the hinge connection relative to the first spine to selectively adjust the circumference of the socket;

a proximal support connected to the second spine and arranged to distribute pressure from the second spine over a portion of the residual limb; and

a tensioning system operatively connected to the first and second spines and arranged to selectively adjust the circumference of the socket, the tensioning system including a tensioner and at least one cable operatively connected to at least one of the first and second spines, wherein the tensioner is arranged to selectively tension the at least one cable to adjust the circumference of the socket.

12. The socket of claim 11 , wherein the proximal support defines an inner surface arranged to contact and support a part of the residual limb.

13. A socket system comprising:

a prosthetic pylon;

an adjustable prosthetic socket having proximal and distal ends and an axis extending between the proximal and distal ends, comprising:

a distal base at the distal end of the socket including a first part and a second part slidable relative to the first part and the axis, the distal base attachable to the prosthetic pylon and defining at least in part a limb receiving portion adapted to receive and support a distal end portion of a residual limb;

first and second spines extending upwardly from the distal base toward the proximal end and defining at least part of a circumference of the socket about the axis, the first spine being connected to the first part, and the second spine being connected to the second part via a hinge connection such that the second spine is slidable inward and outward relative to the first spine and foldable about the hinge connection relative to the first spine to selectively adjust the circumference of the socket;

a proximal support connected to the second spine and arranged to distribute pressure from the second spine over a portion of the residual limb;

a tensioning system operatively connected to the first and second spines and arranged to selectively adjust the circumference of the socket, the tensioning system including a dial tensioner; and

a prosthetic foot operably connected to a distal end of the adjustable socket via the prosthetic pylon.

14. The socket of claim 13 , wherein the tensioning system includes at least one tensioning element operatively connected to at least one of the first and second spines, and the dial tensioner is arranged to selectively tension the at least one tensioning element to adjust the circumference of the socket.