Silicone soft socket system for the treatment of geriatric transtibial amputees

Robert Breuer, Klemens Trieb

Research output: Contribution to journalArticlepeer-review


Background: Outfitting geriatric amputees with a suitable prosthesis is a demanding task. The aim of this study was to determine the effect of prostheses outfitted with a silicone suspension interface system on a large group of transtibial amputees regarding walking distance, satisfaction of use and duration of daily use. Methods: The study included 75 mostly geriatric transtibial amputees fitted with a rigid total contact socket with a silicone interface system called an Icelandic roll-on silicone socket (ICEROSS, Ossur, Reykjavik, Iceland). At follow-up 54 patients remained for assessment. Ambulatory performance was measured by first categorizing the patients into four subgroups regarding their walking capacity: 0–50 m, 50–100 m, 100–500 m and >500 m. The alteration in patient mobility was measured at admission, discharge and follow-up. Satisfaction and duration of daily use as well as use of walking aids were collated with a standard questionnaire. Results: Between admission and discharge, patients showed significant improvement (p = <0.001) in walking distances. The walking distance diminished again between time of discharge and follow-up (p = <0.001). The parameters satisfaction with device and duration of daily use showed no significant differences and the same applied to male and female subjects. Conclusions: Geriatric transtibial amputees fitted with prostheses attached via a silicone suction socket system showed significant improvements in walking distances and a high rate of satisfaction with the device. There were no statistically significant gender-specific differences among users of the ICEROSS system.

Original languageEnglish
Pages (from-to)216-221
Number of pages6
JournalWiener Klinische Wochenschrift
Issue number5-6
Publication statusPublished - Mar 2021


  • Duration of daily use
  • Outcome
  • Satisfaction
  • Silicone liner
  • Walking distance
  • Humans
  • Amputees
  • Male
  • Artificial Limbs
  • Prosthesis Design
  • Walking
  • Female
  • Aged
  • Silicones


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