Article

This review is an attempt to untangle the complexity of transtibial prosthetic
socket fit, determine the most important characteristic for a successful fitting,
and perhaps find some indication of whether a particular prosthetic socket type
might be best for a given situation. Further, it is intended to provide
directions for future research. We followed the PRISMA (Preferred Reporting Items
for Systematic Reviews and Meta-Analyses) guidelines and used medical subject
headings and standard key words to search for articles in relevant databases. No
restrictions were made on study design or type of outcome measure. From the
obtained search results (n = 1,863), 35 articles were included. The relevant data
were entered into a predefined data form that incorporated the Downs and Black
risk of bias assessment checklist. Results for the qualitative outcomes (n = 19
articles) are synthesized. Total surface bearing sockets lead to greater activity
levels and satisfaction in active persons with amputation, those with a traumatic
cause of amputation, and younger persons with amputation than patellar tendon
bearing sockets. Evidence on vacuum-assisted suction and hydrostatic sockets is
inadequate, and further studies are much needed. To improve the scientific basis
for prescription, comparison of and correlation between mechanical properties of
interface material, socket designs, user characteristics, and outcome measures
should be conducted and reported in future studies.

Langue : ANGLAIS