Static Alignment; Dynamic Trial Fitting; Checking The Factory Settings - Ottobock 3R78 Instrucciones De Uso

10) Twist the Perlon stockinette on the distal end and pull on the other half.
11) Cast the prosthetic socket with Orthocryl soft and allow it to cure.

5.4 Static Alignment

+ = anterior placement / – = posterior placement (in relation to the load line)
Item Statischer Aufbau
Required equipment:
743L100 L.A.S.A.R. Posture
To determine the sagittal load line
Prosthetic foot (with shoe) on force measurement plate (sufficient load: > 35% body weight)
•
• Other foot (with shoe) on height compensation plate
• The tips of the shoes are in one line
Optimise the static alignment solely by changing the plantar flexion. Adjustment is performed only
with the anterior and posterior set screws of the tube adapter on the prosthetic foot.
a–p positioning of the alignment reference point
load line
-35 mm
m–l positioning, middle of the prosthetic foot to the frontal load line
0 to 20 mm medial
m–l positioning, centre of the prosthetic knee joint to the frontal load line
0 to 20 mm medial
m–l positioning of the prosthetic socket:
Positioning of the anterior superior iliac spine (Spina iliaca anterior superior)
line :
0 to 20 mm lateral

5.5 Dynamic Trial Fitting

CAUTION
Adjusting the Settings
Fall due to incorrect or unfamiliar settings
► Only adapt the settings to the patient gradually.
► Explain the effects of the adjustments on the use of the prosthesis to the patient.
During dynamic trial fitting, the alignment and settings of the prosthesis are checked and adapted
for optimum walking according to the needs and abilities of the patient.
The patient has to learn the safe use of the prosthesis through intensive training.
The following subsections describe the adjustment possibilities for adapting the product to the
patient.
The list below provides an overview of the sequence for working through the subsections:
•

Checking the Factory Settings

• Setting Flexion Damping
• Setting Extension Damping
5.5.1 Checking the Factory Settings
Function
Flexion damping
Static alignment process
:
Means of adjustment
Adjustment valve "F"
(see fig. 4 - )
, position the patient on the L.A.S.A.R. Posture as follows:
(upper, anterior rotation axis) to the sagittal
Factory setting
From the left-hand stop,
turned to the right (num­
ber of turns: 2.5)
:
:
to the frontal load
Meaning
Valve slightly closed –
low damping as the start­
ing point for adjustment
to the patient
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