DEPARTMENT OF BIOMEDICAL

ENGINEERING
FACULTY OF ENGINEERING
UNIVERSITY OF MALAYA

NAME

: NUR RASYIDAH BT HASAN BASRI

MATRIC NUMBER

: KED 120013

NAME PROGRAMME
& ORTHOTICS)

: BIOMEDICAL ENGINEERING (PROSTHETIC

GROUP NUMBER

: GROUP 2

Component of below elbow prosthesis

o

Terminal device (hand) voluntary opening (VO) or voluntary closing

(VC)
Use to replace human hand that can be custom made or bought
commercially. There are passive and active prosthetic hands. Passive
for cosmetic and active for functional prosthesis.
PVC cosmetic glove cosmetically use, more resistance to
tearing but easy to strain.

VC mechanical hand mimic the 3 jaw chuck grip and

prosthetic help in hand grip.

Hook powered by body power, less cosmetic but most functional TD.
Lighter, stronger and easy to use than mechanical hand.
Hosmer type split hook

Child split hook

Bilateral split hook
Canted jaws for left sided operation

 Locking pliers - custom made devices made for specic tasks

such as holding a plier or operating machinery. Normally can be
interchangeable.
o

Wrist unit - used to attach the TD to the rest of the prosthesis. 2 main
types of wrist that allow removal or replacement of the TD: the quick
disconnect wrist and the screw tting wrist.
Quick disconnect wrist - easily remove and replace their TD,
allowing different TDs to be used for different tasks. Allow
rotation of the TD and hold the rotated position of the TD either
by friction or preferably a lock.

Flexion wrist

Locking

wrist
Screw tting wrist - threaded section on the TD screwing into a
threaded socket on the prosthesis. This allows interchangeability
of the TD, but not accurate rotational control.

Socket
The Strathclyde Supra Olecranon Socket

Allow the prosthesis to be worn as long as necessary from

day one
Maximise stump exion.
Utilises the area above the olecranon on the triceps

tendon as the main suspension area.

.Medial and lateral wings extend over the epicondyles

to the parallel section of the humerus above.

The primary purpose of these extensions is to keep the
posterior section of the socket in place and not to provide

suspension.
The area above the epicondyles does not have a good

tolerance to pressure.
The anterior of the socket is the only area that varies
depending on stump length.

Strathyclyde Extended Cup socket

Suspension that comes from pressure superior to the

epicon- dyles is not normally very effective on a patient
with a congenital trans-radial absence, as their

epicondyles are not normally fully developed.

Provides the main amount of suspension when the patient

extends their elbow.

The brim socket relies on a skin friction ring around the
proximal trim line which helps prevent loss of suspension
during exion

Elbow Joint
Free swinging hinge

2 main method to control elbow lock:

Hand operated elbow lock - by using a body powered cable in a
similar manner to operating a TD.
Ratchet lock - a cosmetic prosthesis, but these are generally not
suitable for functional prostheses.

Suspension of below elbow prosthesis

o

Self-suspending socket
Muenster Technique proper t to stump for full elbow

extension.
Limited to elbow or wrist disarticulation and transradial

amputation.
Commonly utilized by externally powered, myoelectrically

control prosthesi
Harnessed-based system
Most common suspension system used.
There is strap around axilla on the sound side.
Provide counterforce for suspension and control-cable forces.
Anterior strap at prosthetic side attached direct to the socket.
Posterior strap at prosthetic side attaches to control cable.