To regain stability for a TF amputee complaining of instability, what adjustment could be made?

For a transfemoral (TF) amputee, regaining stability is crucial, especially in the context of walking and balance. One effective adjustment to enhance stability involves extending the prosthetic socket.

Extending the prosthetic socket increases the surface area that interacts with the residual limb, providing better overall support. This added contact can improve weight distribution and help to stabilize the knee joint during use. The socket extension allows for the residual limb to be better contained, decreasing the likelihood of unwanted movements that can lead to a feeling of instability.

In contrast, shortening the socket could reduce contact with the limb, potentially leading to issues like decreased control or discomfort. While modifying knee friction levels might help with swing phase control, it doesn’t directly address the stability of the socket during weight-bearing activities. Changing foot position could offer some adjustments for gait mechanics, but it is not as directly impactful on the overall stability as ensuring the socket provides proper containment and support.

By making adjustments that involve the extension of the prosthetic socket, the prosthetist can help the amputee feel more stable and secure while walking and engaging in other activities.