Socket length for long forearm stumps - extreme back-to-back mount of Ossur Icelock pin-lock and wrist

This is invasive works.

To get my long stump (~6cm behind wrist) to still allow for correct socket length, and to allow usage of regular components, we did some things.

My wrist (see series description) has a central bore (image below, left). This is necessary to allow for the pin to protrude through the pin lock (hole, image below, right) into the wrist space.

My socket (image below, right) contains an Ossur Icelock. As I figured out, its distal metal plate (round shiny plate) is quite thick and so lots of that material can be milled down without problems. The lock still works perfectly well.

So if it is necessary to achieve a correct length (not an over length) for long below elbow stumps, grinding down parts and keeping at it is the way to go. This is what I did to my socket that was 2-3cm too long: as proof of concept, I reduced the length dramatically and took the resulting shortened socket to the prosthetic technician to clean up. Now I have two perfectly measured sockets.

Looking at the cross section of the end of my shop-issued socket (diagram, left), the wrist (w) sits on top of some epoxy (e) that constitutes the end of the socket and holds the pin lock (pl) in place.

I removed a lot of bulk (diagram, middle, "remove") and milled down into the metal plate of the in lock (pl) to gain another 3-5 mm. Even the plastic unlock button does not require a full casing, that can be partly removed as well.

The result (diagram, right) is an extremely tight construction that only works if the wrist has a central bore.

Disclaimer: I knew what I was doing. If you don't get it right, you risk damaging possibly expensive parts. So you are definitely on your own with this.

Cite this article:
Wolf Schweitzer: Technical Below Elbow Amputee Issues - Socket length for long forearm stumps - extreme back-to-back mount of Ossur Icelock pin-lock and wrist; published 13/06/2010, 17:44; URL: https://www.swisswuff.ch/tech/?p=319.

BibTeX: @MISC{schweitzer_wolf_1603489615, author = {Wolf Schweitzer}, title = {{Technical Below Elbow Amputee Issues - Socket length for long forearm stumps - extreme back-to-back mount of Ossur Icelock pin-lock and wrist}}, month = {June},year = {2010}, url = {https://www.swisswuff.ch/tech/?p=319}}