title: An open socket technique for through-knee amputations in relation to skin problems of the stump: an explorative study.
abstract: OBJECTIVE
  To compare the conventional socket for through-knee amputees with an open socket system for skin problems and other relevant items.
  
  
  METHODS
  All data were collected during three visits to the prosthetic clinic. At the second visit the conventional socket was replaced by the open socket. The use of both socket types was evaluated with a questionnaire and stump inspection.
  
  
  METHODS
  The subjects were evaluated at the Rehabilitation Centre, St Maartenskliniek, Nijmegen, the Netherlands.
  
  
  METHODS
  Twenty subjects with a unilateral through-knee amputation were included and 13 subjects had a trial with the open socket.
  
  
  RESULTS
  There is a significant decrease of hyperhydrosis when wearing the open socket, there is no significant decrease in skin irritation or ulcers. The open socket also gives more comfort in sitting position.
  
  
  CONCLUSIONS
  A further trial is needed in a selected group of prosthesis users among through-knee amputees to establish the long-term acceptance and benefits of the prosthesis with an open socket.
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000473:pathology*; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D005260:Female; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design