Orthopedics · Amputations, Prosthetics, Orthotics and Rehabilitation

A transtibial amputee is prescribed a silicone gel liner with a distal locking pin that engages a shuttle lock built into the pylon. The primary function of this arrangement is:

  • A Suspension of the prosthesis to the residual limb
  • B Shock absorption during heel strike only
  • C Alignment correction of the prosthetic foot
  • D Replacement of the prosthetic foot-ankle mechanism
Correct answer: A. Suspension of the prosthesis to the residual limb

Explanation

The pin-locking liner system is a suspension mechanism: the silicone or gel liner rolls onto the residual limb, its distal pin clicks into a shuttle lock in the pylon, holding the socket firmly on the limb regardless of volume fluctuations. Shock absorption is a secondary property of some liners, alignment is adjusted at the pyramid connector, and the foot-ankle unit is a separate component entirely.

Reference: Campbell's Operative Orthopaedics, 14th ed.

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