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The suspension sleeve is generally
very effective to "suspend" or hold the prosthesis on. It
can be used as a primary or auxiliary suspension. |
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Neoprene or textile
type sleeves work due to their friction or "grab" to the thigh
and top of the prosthesis. Gel type sleeves (silicone, urethane
or others) work by also creating an airtight seal between
the thigh skin and the top of the prosthesis. |
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All sleeves have a limited
life span and will eventually wear out or tear, requiring
replacement. |
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An under layer of cloth
may be attached over the top of the prosthesis to protect
the sleeve from the socket trimlines. |
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Most sleeves work best
when pulled as high as possible on the thigh. This provides
the maximum surface area for the sleeve to grab and spreads
the load over a greater area. |
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Skin irritations, usually
in the form of a rash, can occur when the sleeve is not regularly
washed. Neoprene or cloth sleeves can generally be put in
a washing machine and dryer. Gel sleeves must be hand washed. |
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A ring or line of redness
can occur on the thigh near the top of the sleeve if it is
too tight or the skin is very soft. In this case a short tube
of cloth or nylon can be placed under the top inch or so of
the sleeve to reduce the shear forces, which cause this. |
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All sleeves will restrict
knee bending to some extent. This usually improves in time
as the sleeve breaks in and the amputee gets accustomed to
wearing it. |
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Care should be taken
to avoid kneeling on the sleeve or other activities that would
damage the sleeve and cause its premature failure. |
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| To don the suspension sleeve
begin with it rolled down. Grasp it firmly on both sides
and pull it upward. |
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The sleeve will turn right-side-out
as it is pulled up over the top of the socket and onto
the thigh. A light dusting of non-scented powder may
make the sleeve slide more easily. |
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| Standing with weight on
the prosthesis will help to pull the sleeve tightly
and fully up onto the thigh. It is important to make
sure the sleeve has as much contact with the thigh skin
as possible to maximize its grip. Stump socks too high
under the sleeve may allow it to slip down. |
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Once the sleeve is in place.
long leg pants or trousers can be pulled up over. |
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