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Prosthetics Lower Extremities - Kinetech Medical

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Alignment of Modular Leg Prostheses<br />

Leg Prostheses<br />

for Children<br />

Modular <strong>Lower</strong><br />

Limb Prostheses<br />

Initial/Interim<br />

Prostheses<br />

Alignment<br />

Leg Prostheses<br />

Bench alignment or plumb line alignment<br />

The L.A.S.A.R. Assembly is designed for bench<br />

alignment of modular lower limb prostheses.<br />

It is available as a Floor model 743L200/250<br />

and as a Bench Top model 743L300/350.<br />

In sagittal and frontal views, three laser<br />

lines are projected medially, laterally and<br />

anteriorly on the prosthesis or orthosis as<br />

alignment reference lines.<br />

For the three-dimensional alignment of a<br />

modular lower limb prosthesis, the knee joint<br />

is fixed in the apparatus, while the prosthetic<br />

foot, other prosthetic components and<br />

socket are mounted in accordance with the<br />

alignment recommendations.<br />

When aligning a transfemoral prosthesis according<br />

to the Otto Bock alignment recommendations,<br />

the knee joint is used as the basis<br />

in the L.A.S.A.R. Assembly. The knee joint<br />

is fixed with joint-specific brackets (adapter<br />

inserts) at the alignment reference point (single<br />

axis joints = rotation axis; polycentric joints<br />

= anterior upper axis).<br />

The recommended position of the alignment<br />

reference point is 20 mm above the medial tibial<br />

plateau.<br />

The socket is positioned so that its sagittal<br />

proximal center coincides with the alignment<br />

reference line. The socket flexion should be<br />

set to a 3-5 degree angle, though it may vary<br />

in different situations (e.g. in the case of hip<br />

joint contractures). The center of the foot is<br />

normally placed 30 mm in front of the alignment<br />

reference line and mounted with plantar<br />

flexion. Add 5 mm to the effective heel height<br />

(see illustration for 3R90). The outer position<br />

of the foot can be adjusted freely. The frontal<br />

alignment is based on the anterior projection<br />

of the laser beam.<br />

Further information on the topic ”alignment recommendation“<br />

can be found in the DIN A1<br />

Poster with order number 646F219=GB.<br />

3R90 Bench Alignment<br />

3R60 Bench Alignment with 743L200/300 L.A.S.A.R. Assembly<br />

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

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