Transtibial socket for external prosthesis
A prosthetic hard socket has a modified curvature and/or shape, which eliminates or de-emphasizes the patellar bar to eliminate or reduce pressure on the wearer's patellar tendon, and, instead, enhances support of the anterior tibial condyle and/or tibial tubercle. Thus, the preferred socket is designed with the patellar tendon preferably not being weight-bearing. The preferred curvature and/or shape comprises a lowered socket edge and/or a gap in the socket wall in the region of the patellar tendon, so that the hard structure of the socket does not directly support or press upon the patellar tendon. The invented socket may include inwardly-protruding regions on each side of the lowered edge/gap, for helping to “capture” or otherwise press on a portion of the tibia for improved rotational control. This combination of shapes and curvatures provides for improved rotational control, comfort, and range of motion including even full extension or hyperextension. A flexible and/or cushioning member may be placed in the gap/trough (that is caused by the lowered edge or removed wall portion), for example, a fabric, leather, rubber, or other member may be attached to the socket to across a V-shaped trough of the lowered edge of the hard socket.
1. An external below-the-knee prosthesis socket comprising: a socket hard wall surrounding and defining a socket interior space and having an upper edge defining an opening for receiving a residual limb of a wearer into the socket interior space; wherein said socket hard wall comprises a V-shaped notch in said upper edge, wherein the notch extends downwardly to provide a gap in the hard wall adapted to be located where a wearer's patellar tendon will reside when the residual limb is in the socket interior space; and a flexible member provided in said V-shaped notch and connected to said socket hard wall so that the flexible member extends across the notch for contacting the wearer's residual limb or liner-covered residual limb, wherein the flexible member does not encircle the residual limb.
2. A socket as in claim 1 , wherein the flexible member does not extend underneath the distal end of the residual limb.
3. A socket as in claim 1 , wherein the flexible member is a patch of flexible fabric.
4. A socket as in claim 1 , wherein the hard wall of the socket comprises no patellar bar for pressing against the wearer's patellar tendon.
5. An external below-the-knee prosthesis socket comprising: a socket hard wall surrounding and defining a socket interior space and having an upper edge defining an opening for receiving a residual limb of a wearer into the socket interior space; wherein said socket hard wall comprises a V-shaped notch in said upper edge, wherein the notch extends downwardly to provide a gap in the hard wall adapted to be located where a wearer's patellar tendon will reside when the residual limb is in the socket interior space; and a flexible member provided in said V-shaped notch and connected to said socket hard wall so that the flexible member extends across the notch for contacting the wearer's residual limb or liner-covered residual limb, wherein the flexible member is glued to the hard socket.
6. An external below-the-knee prosthesis socket comprising: a socket hard wall surrounding and defining a socket interior space and having an upper edge defining an opening for receiving a residual limb of a wearer into the socket interior space; wherein said socket hard wall comprises a V-shaped notch in said upper edge, wherein the notch extends downwardly to provide a gap in the hard wall adapted to be located where a wearer's patellar tendon will reside when the residual limb is in the socket interior space; and a flexible member provided in said V-shaped notch and connected to said socket hard wall so that the flexible member extends across the notch for contacting the wearer's residual limb or liner-covered residual limb, wherein the hard wall comprises two recesses that extend inward into the interior space of the socket on each of two sides of said V-shaped notch, for pressing against the wearer's anterior tibial condyle.
7. An external below-the-knee prosthesis socket comprising: a rigid socket wall surrounding and defining a socket interior space and having a top edge defining an opening for receiving a residual limb of a wearer into the socket interior space; wherein the top edge has an uppermost portion and a lowermost edge portion and said lowermost portion is a V-shaped notch that extends generally vertically downward a distance of 4-6 inches below said uppermost portion of the top edge, wherein said notch provides a gap in the rigid socket wall that is adapted to be located where a wearer's patellar tendon will reside when the residual limb is in the socket interior space; and a non-rigid member provided in said V-shaped notch and connected to said rigid wall so that the non-rigid member extends across said gap for contacting the wearer's residual limb or liner-covered residual limb, and wherein said non-rigid member does not extend upward as high as said uppermost portion of the top edge.
8. A socket as in claim 7 , wherein the non-rigid member does not encircle the residual limb.
9. A socket as in claim 7 , wherein the non-rigid member does not extend underneath the distal end of the residual limb
10. A socket as in claim 7 , wherein the non-rigid member is glued to the hard socket.
11. A socket as in claim 7 , wherein the non-rigid member is a patch selected from the group consisting of: fabric, rubber, and leather.
12. A socket as in claim 7 , wherein the rigid socket wall has an interior surface that further comprises two convex portions that protrude into the socket interior space on each of two sides of said V-shaped notch, for pressing against the wearer's anterior tibial condyle.
13. A socket as in claim 7 wherein the rigid socket wall comprises no patellar bar for pressing against the wearer's patellar tendon.
14. A method of making a below-the-knee prosthesis socket, the method comprising: forming a hard socket wall having a top edge, the top edge having a V-shaped notch extending axially downward to provide a gap in the socket wall into which a wearer's patellar tendon resides when the wearer's residual limb is in said socket; so that no portion of the hard socket wall presses against the patellar tendon during use of the socket, further comprising forming indentations in the hard socket wall on each of two sides of the V-shaped notch, wherein said indentations protrude into the interior space of the socket to press against the wearer's anterior tibial condyle.
15. A method of claim 14 , further comprising providing a flexible patch across the V-shaped notch and generally parallel to the hard socket wall, so that said flexible patch contacts the wearer's liner-covered residual limb at the patellar tendon.
16. A method of claim 14 , wherein said socket comprises no patellar tendon bar.
17. A method of claim 14 , wherein said socket comprises no horizontal ledge in the interior surface of the hard socket wall at the patellar tendon region of the residual limb.