- Constant Friction Knee:
- simply a hinge that is designed to dampen knee swing via a screw or rubber pad that applies friction to the knee bolt;
- it is a general utility knee, and may be used on uneven terrain;
- it is the most common knee used in childhood prosthetics;
- its major disadvantage, is that it allows only single speed walking & relies soley on alignment for stance phase stability and is therefore not
recommended for older, weaker patients;
- because stability relies on stance alignment, the knee axis must be positioned posterior to the plumb line;
- Variable Friction (Cadence Control)
- knee allows resistance to knee flexion to increase as the knee extends by employing a number of staggered friction pads;
- this knee allows walking at different speeds, but is not durable and is not available in endoskeletal systmes;
- Polycentric (4 bar linkage)
- has a variable instant center of rotation that provides for different stability characteristics during the gait cycle and may allow increased
flexion for sitting;
- in extension, the center of rotation is posterior to the plumb line;
- it is favored for pts w/ knee disarticulations and bilateral amputees
- Fluid Control (Hydraulic Knee)
- allows adjustment of cadence response by changing resistance to knee flexion via a piston mechanism;
- provides superior control in swing phase by using fluid hydraulics to vary the resistance according to the speed of gait;
- stiffness can be adjusted for the specific needs of the patient;
- design prevents excessive flexion and is extended earlier in the gait cycle, allowing a more fluid gait;
- knee is best used in young active patients who prefer greater utility and variability at the expense of more weight