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Lê Hoàn Prosthetics & Orthotics
KD

Knee-disarticulation prosthesis

For a long residual limb at the knee: it uses end-bearing capacity and a long lever arm with a low-profile polycentric knee.

Knee-disarticulation prosthesis

Indications

  • Knee disarticulation
  • Very long transfemoral residual limb
  • Children (preserving the distal femoral growth plate)

Key features

  • End-bearing socket with a window or flexible wall
  • Low-profile polycentric knee to match thigh length
  • Self-suspension over the femoral condyles
  • Strong stance-phase control

Knee disarticulation leaves a long femoral lever and a bone end that can bear load directly. This lets the socket self-suspend over the condyles and transfer weight through the distal limb, sparing the groin.

The challenge is length: a conventional mechanical knee makes the prosthetic thigh sit longer than the sound side. We use a low-profile polycentric knee to keep the knee centres level and the gait symmetrical.

It is also the preferred level in children because it preserves the distal femoral growth plate, so the limb grows closer to normal and bony overgrowth is reduced.

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