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Prosthetics Lower Extremities - Kinetech Medical

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Modular Knee Joints<br />

Modular Knee Joints<br />

The function of a modular knee joint is vital to the overall performance of a prosthesis.<br />

During stance phase knee stability is key, and the knee must not buckle<br />

at heel strike. During swing phase, the motion of the prosthetic lower leg must<br />

be controlled.<br />

With mechanical knee components, stance phase stability can be achieved by<br />

means of a lock (a common solution for geriatric fittings), weight-dependent friction<br />

controls or polycentric constructions – and even with variable stance phase<br />

flexion in knees like the 3R60. A hydraulic stance phase control is offered in knees<br />

such as the 3R80.<br />

With the electronic knee joints from the C-Leg® Product Line, the hydraulic unit<br />

is microprocessor-controlled for stance phase stability.<br />

The swing phase control is achieved with, for example, flexible extension assist<br />

springs that function independently of walking speed. The pneumatic and hydraulic<br />

elements resist motion depending on speed and adjust to the patient’s gait.<br />

Based on real-time data, the C-Leg® Knee Joint System immediately adapts to<br />

the patient’s current walking situation.<br />

The selection of the appropriate mechanically or electronically controlled knee joint<br />

is based on the the patient’s amputation level, the condition of the residual limb,<br />

their activity level and health, their weight as well as his/her surrounding environment<br />

and living conditions. Older prosthesis users with lower mobility require a<br />

higher degree of knee stability. Easy handling and wearing comfort are more important<br />

than dynamic function.<br />

The knee joint and prosthetic foot are viewed as one functional unit; these components<br />

must therefore work in harmony with each other and are tested to ensure the<br />

best function possible (see “Component Combination: Knee-Foot” on page 48).<br />

Knee Joints<br />

Otto Bock HealthCare GmbH | <strong>Prosthetics</strong> – <strong>Lower</strong> <strong>Extremities</strong> | www.ottobock.com 141

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