Design Rules by Level: Let Anatomy Drive the Adjustable Strategy
For decades, the definitive socket has been the standard. But what we call “definitive” was never built for a limb that behaves dynamically. Residual limbs change constantly due to activity, temperature, hydration, and pressure. Before choosing hinge, panel, gap, or hybrid architecture, practitioners should first step back and ask: What does this limb do throughout the day? Where does it lose volume? Where does it break down? What does this patient expect to do in this socket? Targeted vs Global Adjustability: Decide This First Before choosing hinge, panel, or gap, determine whether this limb requires global or targeted compression. Global adjustability applies broad circumferential control and works best when volume…
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