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Lê Hoàn Prosthetics & Orthotics
TT

Below-knee (transtibial) prosthesis

For amputees who retain the knee, focused on a total-contact socket, a silicone liner and an activity-matched foot to restore gait quickly.

Below-knee (transtibial) prosthesis

Indications

  • Transtibial amputation from trauma, vascular disease or diabetes
  • Ankle disarticulation (Syme)
  • Congenital tibial deficiency
  • Need for a spare or sports prosthesis

Key features

  • Total-contact PTB / TSB socket
  • Pressure-relieving silicone or gel liner
  • Pin-lock, vacuum or supracondylar suspension
  • SACH, single-axis, multi-axis or carbon foot
  • Waterproof and running options available

Because the knee is preserved, transtibial amputees usually recover gait quickly and spend far less energy than transfemoral users. The key is a total-contact socket that loads pressure-tolerant areas and relieves sensitive ones.

A silicone or gel liner encloses the residual limb to cushion it, reduce shear and stabilise volume. Suspension can be a locking pin, a vacuum valve or a supracondylar grip depending on limb length and activity level.

The foot is chosen by goal: SACH and single-axis for slower indoor walking; multi-axis for rough ground; an energy-returning carbon foot for active users; and dedicated modules for swimming or running.

We finish with dynamic alignment and residual-limb skin-care coaching. Limb volume keeps changing for the first 6–12 months, so patients return for sock management or a replacement socket when needed.

Do you or a loved one need advice?

Book an in-person assessment in Hanoi or send your file for a remote consultation. We reply within 24 hours.

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