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Historic Devices

One of the joys of any major meeting is the chance for a glimpse of some of the surviving historic prostheses and orthoses made by our forbearers. The REHA meeting in Leipzig had several display cases full of wonderful examples of German craftsmanship using wood, leather, and similar historic materials. In most cases, they were adjacent to equally excellent examples of modern fabrication techniques. This juxtaposition was an excellent technique to highlight the similarities and differences between devices from widely differing eras.


This is a German example of the historic "tilt table" prosthesis with locked hip and knee joints. In this era, "ultralight construction" meant such a molded leather exoskeletal design.
This transfemoral prosthesis illustrates the beautiful craftsmanship inherent in creating an artificial limb from wood. It is covered with molded rawhide but has not been pigmented so the details of the socket banding and other aspects of the fabrication can be seen. Note the use of a polycentric knee and a very high lateral wall with Silesian Band; both enhance stability. [Leather socket in the background seems to have one of the original Modular endoskeletal set-ups.]
Close-up of wooden socket clearly showing a sloping posterior-medial shelf and lower medial wall so the ramus can exit comfortably. We would consider these contours evidence of Ischial Containment in a modern prosthesis. The relatively flat area over the femoral triangle is also very reminiscent of what is considered "best practice" even today.

Two gorgeous examples of yesteryear's spinal orthoses, showing the elegance that was possible using only leather, steel, and textiles.
This thin, sleek, lightweight, and incredibly strong custom made laminated carbon fiber spinal orthosis was in the same showcase as the historic examples - illustrating that exquisite fabrication is still alive and well in this new millennium.


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Reader Comments:

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hydraulic knee joint
In the past I have worn KAFO's because of instability of my joints due to having a rare connective tissue disorder. These were custom made, and of the 'cosmetic' plastic style. This year I had major spinal surgery that led to damage to ... read more

- Fiona   6/15/2005


Re: hydraulic knee joint
Without knowing a great deal more about the details of your physical condition, it will not be possible to make any detailed recommendations, although there are a number of developments in KAFO design in the past decade or so, including the... read more

- John Michael   10/22/2005


Re: hydraulic knee joint
hi i am mohanagandhi,Prosthetist Orthotist ,doing my practice in india (Hyderabad,my Mobile Numbers 9885349838,9885454003,9440054332) i got what u r aiming for ,that is u need some external assistance device which can help you to push... read more

- G.Mohanagandhi   10/22/2005

polycentric knee joints
Hi, I'm trying to find information about reverse engineering of a polycentric knee joint for above knee amputees. I'm trying to take the centrode first and then build the bar system around it. Does anyone know if this has been tried before ... read more

- R. Vegter   5/27/2005


Re: polycentric knee joints
Although I'm not an engineer, I believe this is an interative process. Some years ago, Professor Radcliffe demonstrated a simple program he had written that allowed him to specify different link geometries which produced animations of the ... read more

- John Michael   5/31/2005

virtual prototyping of human limbs using reverse engineering
I am mechanical engineer and am a Lecturer at BIRLA INSTITUTE OF TECHNOLOGY RANCHI .I am doing my phd in the area of reverse engineering for the development and protyping human limbs which would be an aid for the surgeons as well as the doc... read more

- Richa pandey   9/2/2003

Basics of CAD in regards to socket design for trans-femoral amputees
Hi! I'm a college senior(Mechanical Engineering) in India, and am planning to do my Master's in Biomechanics. Could you suggest me a few good web-sites and other related material to understand the basics of mechanics for lower-extremity pro... read more

- Manish Virmani   1/9/2003


Re: Basics of CAD in regards to socket design for trans-femoral amputees
This is a complex area that is not discussed in any depth on the web, to the best of my knowledge. There are a number of texts that provide entry-level information on both biomechanics and socket design concepts. You're probably best advi... read more

- John Michael   1/9/2003

trans-tibial amputee orthoses
Hi, I am a physiotherapist working in Australia. I have a patient case study to perform on a 67 year old female with sero-positive RA for 50 years who had a trans-tibial amputation due to gangrene. A) What prosthesis would be BEST su... read more

- Melissa McSwan   4/30/2001


Re: trans-tibial amputee orthoses
orthosis u approch donjoy company based at US for prosthesis u prefer to go with the folowing components ,1.fixed ankle joint ,2.sach foot,2.silicone suspension sleeve 3.graplite pylon

- G.Mohanagandhi   10/22/2005

amputee cyclists
Hi - I am looking for information on the different types of prosthetic limbs (trans-tibial and trans-femoral) being used by amputee cyclists. The various knee and other components involved interest me, as do the alterations being made to th... read more

- Jennie Jackson   3/18/2001

mountain climber amputee
Hello, I hope you can help me; my son is looking for the name of a man who, he believes, climbed Mount McKinley and is a double amputee. He has an assignment to write about someone who has overcome adversity and he had seen a documentar... read more

- P. Mayes   3/2/2001


Re: mountain climber amputee
You may have already gotten your answer (it is probably too late anyway), but I think the person you are asking about is Ed Hommer. He wrote a book about his life called "The Hill". He also has a web page at www.everestquest.com, which ha... read more

- Tim Griffith   6/14/2002

Can you help me?
hi sir, I'm from Türkey (Adapazar ) and I'm a student in univercity as you know Adapazar saw an earthquake last year and we can not find books as well as before it my teacher gave me a duty about "electro- and magneto- rheologic fluid... read more

- Tolga Ozturk   2/14/2001

Procedure code language
John, Give me more time to send you the document as I am taking the L-code course next week. thanks , rick

- Rick Lehneis   8/30/2000

Procedure codes & Network or Organization Registration
John, May Lehneis O & P also be listed as an organization or network as Actra Has? I have sent a HCFA Orthotic language proposal to David Schultz which is now near complete. Would you care to view it's content and advise me? Thanks, Rick Le... read more

- lehneis   8/7/2000

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