A literature review published online December 5 in the journal Clinical Biomechanics was undertaken to provide selection criteria for clinicians about various transtibial suspension systems. The authors concluded, however, that there was insufficient clinical evidence to determine which system “could have an influential effect as a ‘standard’ system.”
Among the study author’s findings were that sweat control was a “major concern” among those who use transtibial prosthesis suspension liners; donning and doffing of soft liners were problematic for some users, particularly those with upper-limb weakness; and the total surface bearing socket with a pin/lock system was favored in terms of fit and function by the majority of the study cohort.
