Article

This review is an attempt to untangle the complexity of transtibial prosthetic
socket fit and perhaps find some indication of whether a particular prosthetic
socket type might be best for a given situation. In addition, we identified
knowledge gaps, thus providing direction for possible future research. We
followed the PRISMA (Preferred Reporting Items for Systematic Reviews and
Meta-Analyses) guidelines, using medical subject headings and standard key words
to search for articles in relevant databases. No restrictions were made on study
design and type of outcome measure used. From the obtained search results (n =
1,863), 35 articles were included. The relevant data were entered into a
predefined data form that included the Downs and Black risk of bias assessment
checklist. This article presents the results from the systematic review of the
quantitative outcomes (n = 27 articles). Trends indicate that vacuum-assisted
suction sockets improve gait symmetry, volume control, and residual limb health
more than other socket designs. Hydrostatic sockets seem to create less
inconsistent socket fittings, reducing a problem that greatly influences outcome
measures. Knowledge gaps exist in the understanding of clinically meaningful
changes in socket fit and its effect on biomechanical outcomes. Further, safe and
comfortable pressure thresholds under various conditions should be determined
through a systematic approach.

Langue : ANGLAIS