Amputation; Artificial limbs; Orthopedics; Surgery, Military
This foot is mounted on the leg at an angle of 45° beyond the right
angle, with an interposed rubber cylinder, which allows of the
diminution of the angle to 25° or 30° but no further. It is important
that flexion to a right angle should not be possible. In fact, a
slight degree of equinus is essential in order to secure the locking
of the knee in extension, exactly as with the fixed foot (compare
figures 73, 74 and 75 with figure 72), and as on the shoe there is
always a heel which makes us walk normally in slight equinus, the
two feet will be similar in appearance, the slight movement of the
artificial foot being sufficient to allow a rolling movement of the
sole upon the ground (Figs. 77 to 86).
[Illustration: FIG. 76.]
[Illustration: FIG. 76A.]
The figures 76 and 76A show the simplest and best known mechanism. On
the upper surface of the foot two cavities are hollowed, one in front
and one behind the bolt of the ankle joint, in each of these is placed
a cylinder of rubber; the posterior cylinder is about twice as thick
as the anterior. Above them the leg piece is fixed, it ends in front
in a short instep which lies within the cavity hollowed out in the
foot.
The foot is attached to the leg piece by a bolt made as follows: a
steel tube fitting into two corresponding grooves in the leg and foot,
is attached to the leg by being prolonged upward into a vertical rod,
which is secured by a nut inside the leg piece.
Upon the steel tube moves a brass rod shaped like an inverted U, the
two ends of which pass through the foot and fasten beneath it by two
nuts (Fig. 82).
Raising the point of the foot further compresses the anterior piece
of rubber, lowering it relieves the pressure upon this piece and
compresses the posterior piece. But the tension and the size of the
pieces of rubber are such that they are under slight compression in
the position of rest, the foot being in 30° of equinus. So that this
foot is never loose. When pressure is made on the point of the foot it
may come to within 15° or 20° of a right angle, but it returns to its
angle of 30° as soon as the pressure ceases.
[Illustration: Figs. 77 to 81.
Contact of the sole with the ground in normal walking. Heel first then
toe, with progressive dorsiflexion of the ankle joint. Compare with
the contact of the artificial foot in figures 82 to 86.]
With boots on, with heels of 2·5 centimetres the two feet are in the
same position when the soles are flat on the ground.
The forepart of the foot (representing the toes and the anterior part
of the metatarsals) is kept in this position (Fig. 76) in slight
extension by a piece of rubber, compression of which allows an
increase of extension of 15° to 20°.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account