The document describes the initial alignment parameters for various stump lengths in prosthetic fitting, detailing flexion angles, placements, and orientations of the prosthetic components. It categorizes stumps into short, medium, and long based on their anatomical lengths and specifies corresponding adjustments for optimal alignment. Key considerations include medial and lateral alignments, flexion angles, and adjustments for different heel heights.
2
1/2 ML 1/2ML
1/2AP1/2AP
MEDIAL FOOTLINE
LINEOFPROGRESSION
LM
TT INITIAL ALIGNMENT: TRANSVERSAL VIEW
22-25mm
II
- PARALLEL
II
II
A
P
II
MEDIALWALL
5-7°
3.
3
SHORT STUMP:
LESS THAN1/3 OF THE
ANATOMICAL LENGTH;
NORMAL POSITION: ABDUCTION = VALGUM
MEDIUM STUMP:
FROM 1/3 TO 2/3 OF THE
ANATOMICAL LENGTH;
NORMAL POSITION: NEUTRAL
MEDIO-LATERAL PLACEMENT OF PP CUP
5 - 10 mm
0 mm
5 - 10 mm
L
M
TT INITIAL ALIGNMENT: ANTERIOR VIEW
LONG STUMP:
MORE THAN 2/3 OF THE
ANATOMICAL LENGTH;
NORMAL POSITION: ADDUCTION = VARUM
4.
4
SHORT STUMP
FLEXION :10°-15°
MEDIUM STUMP
FLEXION : 5°-7°
22- 25 mm30- 35 mm 22- 25 mm
ANTERO-POSTERIOR PLACEMENT OF THE PP CUP
TT INITIAL ALIGNMENT: MEDIAL OR LATERAL VIEW
LONG STUMP
FLEXION : 0°- 5°
5.
5
NEUTRAL
TT INITIAL ALIGNMENT:MEDIAL OR LATERAL VIEW
HIGH HEEL = PLANTAR FLEXION NO HEEL = DORSAL FLEXION
VERTICALITY OF THE TUBE
ACCORDING TO HEEL HEIGHT
6.
6
SUPINATION = VARUMPRONATION= VALGUM NEUTRAL
TF INITIAL ALIGNMENT: ANTERIOR VIEW
VERTICALITY OF THE TUBE
ACCORDING TO SOLE CONDITION
7.
7
TUBE IS VERTICAL
MEDIUMSTUMP
BRIM IS HORIZONTAL
POSITION IS
NEUTRAL
CUP IS HORIZONTAL
PLUMBLINE IS IN THE CENTER
HEIGHTISCORRECT
TT INITIAL ALIGNMENT: ANTERIOR & POSTERIOR VIEW
8.
8
TUBE IS VERTICAL
FOOTMEDIALISATION 5-10 mm
BRIM IS HORIZONTAL
ADDUCTION OF THE SOCKET
CORRESPONDS WITH THE
VALGUM OF THE STUMP
LATERALISATION 5-10mm
CUP IS HORIZONTAL
LONG STUMP
TT INITIAL ALIGNMENT: ANTERIOR & POSTERIOR VIEW
9.
9
TUBE IS VERTICAL
FOOTLATERALISATION 5-10 mm
BRIM IS HORIZONTAL
ABDUCTION OF THE SOCKET
CORRESPONDS WITH THE
VARUM OF THE STUMP
MEDIALISATION 5-10mm
CUP IS HORIZONTAL
SHORT STUMP
TT INITIAL ALIGNMENT: ANTERIOR & POSTERIOR VIEW
10.
10
TUBE IS VERTICAL
1/2AP
FLEXION = 5°
CUP IS HORIZONTAL
1/31/31/3
MEDIUM STUMP
ANTERIORISATION :
MEDIUM AND LONG STUMPS - 22-25 mm
SHORT STUMP - 30-35 mm
TT INITIAL ALIGNMENT: LATERAL VIEW