What is the recommended fix for a lateral lean of the pylon at midstance?

A lateral lean of the pylon at midstance in a prosthetic limb often indicates an alignment issue that can lead to instability and uneven weight distribution. The recommended fix is to increase socket adduction. By adjusting the socket to a more adducted position, it allows for a more balanced alignment of the pylon relative to the ground, enhancing the stability of the prosthesis during the stance phase.

Increasing socket adduction effectively shifts the center of mass closer to the midline of the body, helping to counteract the lateral lean. This adjustment promotes proper weight-bearing alignment over the prosthetic foot and improves overall gait mechanics.

While adjusting foot position to outset or widening the socket mediolaterally could also influence the alignment, they do not directly address the root cause of the lean during midstance as effectively as increasing adduction does. Shortening the prosthesis is more likely to alter gait dynamics in other ways rather than specifically correcting the lateral lean issue. Therefore, increasing socket adduction is recognized as the most effective approach for this particular alignment adjustment.