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About prosthetics foot

Types of prosthetics foot

The type of prosthetic foot that is suitable for a patient depends on some factors. These factors include activity level, amputation history, and individual needs. Here are some of the most common types:

Exoskeletal prosthetic foot

This type of prosthetic foot is known for its rigidity and robust outer shell. It is designed mainly to provide stability and support. The outer structure helps in protecting the internal components of the prosthetic. The inflexible design redirects forces through the prosthetic limb much like a biological foot. This type of foot is mainly recommended for individuals who have low mobility. People who work in tough environments benefit from this type of foot. Industries that do construction or mining should consider this foot.

Mechanically controlled prosthetic foot

The mechanically controlled prosthetic foot has the capacity to adjust its position. This adjustment is based on the walking phase, thus providing more stability and energy return. A good example is a blade footer. They have a sleek profile and are made from sturdy materials to provide flexibility and strength. They are mainly intended for higher activity amputees. These types of prosthetics excel in running and jumping. They also provide good balance and stability during walking and other low-key activities.

Dynamic response prosthetic foot

The dynamic response foot is made from composite materials that store and release energy when walking. They have a natural gait and a spring effect that propels individuals forward with every step taken. The prosthetic foot is suitable for active individuals who engage in running or walking. They have a relatively lightweight structure that promotes ease of mobility.

Non-articulating (solid ankle) prosthetic foot

This type of prosthetic foot has a straightforward design with no moving parts. It provides a stable platform for the individual. The simple construction limits flexibility but provides solid ground and force transfer. The design makes it ideal for low-activity users who need durability and reliability. The low-maintenance feature is an added advantage for individuals in tough environments.

Materials used to make prosthetics foot

The material composition is a critical aspect of prosthetic foot construction. Different materials offer unique benefits such as durability, weight, and flexibility. Below are some of the most common materials used:

Carbon fiber

Carbon fiber is famous for its high strength-to-weight ratio. It is used especially in dynamic response and high-performance prosthetic feet. The material stores energy during the gait cycle. It makes it ideal for active individuals who require a lightweight yet durable solution.

Aluminum alloys

This material combines lightness and strength. It is used in many instances in the structure of mechanical components of prosthetic feet. The alloys provide rigidity and durability while keeping the overall weight of the prosthetic low.

Rubber and elastomers

Rubber is used in prosthetic feet mainly for its shock-absorbing and cushioning properties. They are utilized in the foot's outer layer or in key components to reduce impact forces. This feature increases comfort during ambulation. Rubber is another material used in making non-articulating prosthetic feet. It is favored for its affordability, resilience, and ease of maintenance.

Wood

Wood was historically a common prosthetic foot material. It is still used sometimes because of its cost-effectiveness. It provides a natural look and feel. However, its durability and water resistance are not as good as those of modern materials.

Plastics

High-density polyethylene (HDPE) and polypropylene are types of plastics commonly used in prosthetic foot designs. Plastics were favored because they offer flexibility, are lightweight, and have good impact resistance. Plastics are often used in instances where lower costs and ease of adjustment are the priority. They can also be seen in feet intended for low-activity users.

How to choose prosthetics foot

Choosing the right prosthetic foot for an individual requires considering several factors. One needs to assess the amputee's lifestyle, activity levels, and medical history before making a choice. Below are some key points to consider:

Foot type

Running prosthetics are designed to give efficient propulsion and a natural gait when running. Walking prosthetics, on the other hand, offer stability and comfort. They are designed for the user who primarily walks. Understanding the activity level will guide one to select a foot that meets their functional requirements.

Build material

The build material of the prosthetic foot is crucial because it affects the weight and durability of the foot. Carbon fiber and titanium alloy are materials that offer strength without adding heavyweights, which is ideal for dynamic responses. Rubber and wood are cheaper but provide excellent shock absorption. Consider the conditions under which the individual will use the foot to determine which material is most suitable.

Foot mechanics

Adjustable components allow for changes in the angle or setting. This feature enables one to customize the foot to suit different terrains and activities. Fixed-structure feet, on the other hand, provide a constant and reliable platform. Although they cannot be adjusted, they are very sturdy. This feature makes them suitable for individuals in tough working conditions.

Energy return

Modern prosthetic feet feature energy return components such as springs. They help to improve efficiency, especially during walking or running. Carbon fiber feet return energy after each step, giving one ease of movement.

Socket compatibility

Ensure the chosen prosthetic foot can fit into the existing socket. If modification is needed, consider the time and effort required to make them compatible. If the individual has to get a new socket, consider whether the supplier provides them.

Terra compatibility

Considering the terrain with which the individual will often use the prosthetic foot is crucial. Daily activities such as walking on uneven surfaces or rocky roads require a multi-axial foot. It provides flexibility and stability. Conversely, if the individual leads a smooth lifestyle, a fixed-structure foot is more suitable. It is more robust and requires lower maintenance.

How to use prosthetics foot

Proper usage and care maximize comfort and extend the lifespan of the prosthetic foot. Below are key aspects of using and maintaining the prosthetic foot:

Proper fit and alignment

After installation, users should ensure that the prosthetic foot is aligned properly. Misalignment can lead to discomfort and mobility issues. Users should work with skilled technicians to ensure proper fitting. Regular checks are advisable for amputees to handle wear and tear.

Regular cleaning

Users should wash the prosthetic foot often to keep it in ideal condition. They should use mild soap and water to clean the foot daily. Avoid harsh chemicals that can damage the materials. One should also dry the foot with a soft cloth. Never leave the foot wet, as it will promote the build-up of germs and bacteria.

Cushioning and shock absorption

To improve comfort for transients and reduce wear and tear, consider adding cushioned inserts to the prosthetic. They help to absorb some shock from the prosthetic foot. It will make the person not feel impact forces much, which keeps the foot in good condition.

Inspection

Check the foot often for any signs of wear or damage. Look for cracks in the materials, especially if the foot is made of plastic or carbon fiber. Also, look for signs of rust or corrosion, particularly metal components. In case of any visible damage, one should take the user to the specialist so they can replace or repair it.

Avoid extreme conditions

Extreme weather conditions can damage the components of the prosthetic foot. Avoid exposing the foot to extreme cold, heat, or water. Where exposure is inevitable, consider using protective covers. They are designed for prosthetic limbs and offer water and weather resistance.

Adjustment check

If the user experiences discomfort when walking with the prosthetic foot, have it adjusted.Regular adjustments ensure the foot is working properly and used comfortably.

Q&A

Q1: How long do prosthetic feet usually wear?

A1: The type of materials used in making the prosthetic foot and the degree of activity of the individual using it determine its longevity. Most prosthetic feet last from 3 to 5 years. However, parts with more flexible materials will have to be replaced more often than others. The feet designed for active users will also have to be replaced often due to wear and tear.

Q2: Can all types of prosthetic feet be used by people with any amputation level?

A2: No, not all prosthetic feet are suitable for all types of amputations. Some prosthetic feet are ideal for trans-femoral amputees than others. For example, dynamic and carbon fiber feet work best with trans-femoral amputees. Walking pedicles are more suited to lower-leg amputees because they do not make many movements.

Q3: Are carbon fiber prosthetics worth it?

A3: Yes, they are worth it. Carbon fiber prosthetic feet have a large strength-to-weight ratio. The material also has high impact resistance. The materials also provide good energy return for active users. The benefits of carbon fiber materials make them ideal for various applications.

Q4: How do changes in seasons affect the condition of the prosthetic foot?

A4: Different seasons have different effects on the foot. Hot weather can cause the components of the foot to expand and change. Humid weather can cause it to become slippery, which makes it uncomfortable to the user. Cold weather can cause the foot to contract, which may not fit properly on the user. Snow and rain can lead to water build-up on the prosthetic, which leads to rust.

Q5: What maintenance practices increase the lifespan of the prosthetic foot?

A5: Regular cleaning of the foot with mild soap will keep it in good condition. Avoid exposing the foot to extreme conditions. These extremes include weather conditions and working conditions. Regularly inspect the foot for signs of damage and adjust it where necessary. In case of adjustments, do them in a timely manner so there are no prolonged discomforts for the user.