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Review Question - QID 23

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QID 23 (Type "23" in App Search)
A 27-year-old patient comes in for a new prescription for his below knee amputation prosthesis because it is not fitting properly. All of the following are complaints and examination findings consistent with a prosthetic foot that is placed too far inset EXCEPT:

Varus strain

3%

93/2714

Socket pain located medial and proximal

19%

515/2714

Increased knee extension during stance

33%

906/2714

Socket pain located lateral and distal

35%

951/2714

Circumducted gait

8%

223/2714

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Increased knee extension during stance can be a result of a heel that is too soft or a foot that placed is too anterior. Posterior placement of the prosthetic foot or a heel that is too hard will increase knee flexion/instability at heel strike. A prosthetic foot that is too far inset produces varus strain, pain (proximal/medial and distal/lateral) at the socket, and a circumducted gait. A prosthetic foot that is too far outset will produce valgus strain, socket pain that is proximal/lateral and distal/medial, and a broad-based gait.

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