This presentation by from the International Committee of the Red Cross describes transfemoral initial alignment for lower limb amputee prosthetic fitting.

1. 1

2. 2
40% ML
M L
10-15 mm
60% ML
LINEOFPROGRESSION
MEDIAL FOOT LINE
TF INITIAL ALIGNMENT:
TRANSVERSAL VIEW
- PARALLEL
MEDIAL SOCKET LINE
KNEE AXIS LINE
A
P
MEDIALWALL
1/2AP1/2AP
5-7°
TROCHANTER

3. 3
INITIAL ADDUCTION
OF LATERAL WALL = 5°- 7°
PP CUP IS HORIZONTAL
HORIZONTAL
VERTICAL
LOCATION OF PP CUP
TF INITIAL ALIGNMENT:
POSTERIOR & ANTERIOR VIEW
VERTICAL
P A
MLM L

4. 4
LOCATION OF PP CUP
HORIZONTAL
INITIAL FLEXION = 5°
PP CUP IS HORIZONTAL
TF INITIAL ALIGNMENT:
MEDIAL & LATERAL VIEW
APA P
LM

5. 5
HIGH HEEL = PLANTAR FLEXION NO HEEL = DORSAL FLEXION
VERTICALITY OF THE TUBE
ACCORDING TO HEEL HEIGHT
NEUTRAL
TF INITIAL ALIGNMENT:
MEDIAL OR LATERAL VIEW

6. 6
SUPINATION = VARUMPRONATION = VALGUM NEUTRAL
VERTICALITY OF THE TUBE
ACCORDING TO SOLE CONDITION
TF INITIAL ALIGNMENT:
ANTERIOR VIEW

7. 7
ADDUCTION 5°
HORIZONTAL
ML 40-60 %
AXIS IS HORIZONTAL
VERTICAL
TUBE IS VERTICAL
TF INITIAL ALIGNMENT:
POSTERIOR VIEW
PLUMBLINE IS IN THE CENTER
SOLE IS FLAT

8. 8
AXIS IS HORIZONTAL
TUBE IS VERTICAL
VERTICAL
TF INITIAL ALIGNMENT:
ANTERIOR VIEW
SOLE IS FLAT
ADDUCTION 5°
ML 40-60 %

9. 9
TKA LINE ≅ 10-15 mm
ANTERIOR FROM AXIS
INITIAL FLEXION = 5°
TUBE IS VERTICAL
1/2 AP
HORIZONTAL
TF INITIAL ALIGNMENT:
MEDIAL VIEW
SOLE IS FLAT
1/3 1/3 1/3

10. 10
INITIAL FLEXION = 5°
TUBE IS VERTICAL
TROCHANTER
TKA LINE ≅ 10-15 mm
ANTERIOR FROM AXIS
TF INITIAL ALIGNMENT:
LATERAL VIEW
SOLE IS FLAT
HORIZONTAL