Minimum insertion length for the tube

adapter is 40 mm and the maximum

insertion length is 55 mm. 

C-Leg knee sensors include an

inertial motion unit (IMU), knee angle
sensor, and knee extension moment
sensor. The IMU consists of a 3D
gyroscope and an accelerometer. 

Stance flexion is a critical event for

weight acceptance and shock
absorption in early stance.

Reliable stance release contributes to

gait symmetry and a reduction in gait
deviations, even on rough terrain.

Consistent heel rise provides an

anatomical knee flexion angle (65°)
and swing timing for
toe clearance.

Stance release is an important part of

a symmetrical and smooth gait
pattern.

C-Leg stance release criteria: 

1. Knee is tilted forward

2. Knee is moving forward

3. Knee is fully extended

Consistent stance release is

achieved  primarily through
optimal prosthetic alignment and
is independent of body weight and
ground condition. 
Resistance for stumble recovery is
available as soon as the knee stops
flexing during
swing.

Stumble recovery is engaged

throughout swing extension on every
step.

Sitting Function
conserves the battery. It's also helpful
for tasks such as getting into a car or
donning the prosthesis. 

Safety Mode values are set by the

prosthetist according to patient
preference. setting higher resistance
values is recommended in order to
err on the side of stability. 
The C-Leg is an appropriate knee for
the K3 ambulator. Which statement
about patient
selection is FALSE? 

C-Leg is indicated for individuals who

vary their walking cadence

C-Leg is indicated for individuals who

walk at a single speed. Xxxxxxx

Patients with bilateral amputations

are good C-Leg candidates

Patients with hip disarticulation

amputations are good C-Leg
candidates

*C-Leg is indicated for individuals

who vary their cadence. Other
indications include bilateral TF
amputation levels, HD amputation
levels, those with osseointegration
implants.
When the C-Leg battery is depleted,
stance flexion resistance defaults to
Safety Mode which is set according
to the patient's preference.

True  xxxxxxxx

False

Safety Mode is programmed by the

prosthetist with the patient's input.
Safety Mode is engaged when the
battery is fully depleted.

C-Leg stumble recovery becomes

active as soon as the knee detects a
switch from swing flexion to swing
extension, or when the knee stops
flexing during early swing.
There are three criteria that must be
met to release the knee from stance
to swing: knee extension, forward tilt
of the knee/shank, or forward
movement of the knee/shank.

The charger can be used to shut the

knee down by attaching and
removing it from the knee 3 times in
succession. The charger can also be
used to activate the Bluetooth for
connection to Data Station. When the
charger is removed from the knee,
the Bluetooth is active for two
minutes and can be connected to
Data Station.

The prosthetist or patient can turn the

knee upside down to activate the
Bluetooth, if the charger is not
available.
The knee is delivered in safety
mode , the knee will not release from
stance to swing
 during gait. Specific patient
information is required to "unlock" the
C-Leg for patient use.
These are :
Body weight of the patient
Knee center to floor
Foot size (not mandatory)

Calibration is also REQUIRED in

order to allow stance release.

Bench alignment:
Saggital plane:

Ÿ Conduct a Modified Thomas Test to

determine the amount of hip flexion
contracture. Add 4° to the results of
the test. The total determines the
amount of socket flexion for bench
alignment.
Ÿ Bisect the socket at the socket
reference point (30 mm proximal to IT
level on the lateral socket wall).

Ÿ The reference line should pass 5mm

posterior to the C-Leg knee center.
There should be a slight anterior lean
to the knee.

Ÿ Add a 5mm wedge under the shoe.

The alignment reference line should
pass through the lateral marking on
the foot shell (or 30 mm posterior to
the middle of the prosthetic foot).

Coronal Plane

Ÿ Begin with the socket in

approximately 5° of adduction. 
Ÿ The alignment reference line should

pass through the center or lateral

border of the knee and through the
center of the foot. 

Transverse Plane

C-Leg should not be externally

rotated more than 5° in relation to the
socket. Excessive external or internal
rotation of the knee may result in a
swing phase whip. 
 What happens if I don't use knee
Extender?

Ÿ Foot will be shifted 3-4 cm anterior

Ÿ Ground reaction force will be 1.5-2

cm more anterior to the knee joint

This means that the knee extension

moment will be stronger and stance
release will require more patient
effort.

5mm without a protective knee cover

are required and 10 mm with a
protective knee cover.
Static alignment
verify that leg length is equal. The
patient's iliac crests and knee centers

should be level. 

Calibration is required to unlock the

knee for dynamic alignment and
walking.

Calibration requirements:
1.Prosthesis loading
 weightbearing is 50% on the
prosthetic side and 50% on the
sound side. 

2. Knee extension

The knee joint must be fully extended

when the patient is in a relaxed,
weightbearing position.
3. Knee angle

The knee and pylon should be tilted

slightly
forward in the sagittal plane within
calibration parameters.

Once the MyModes are chosen for

the patient, the prosthetist must click
the 'Transfer Configuration' button in
Data Station to activate the
MyModes.

The prosthetist can also find the

Bluetooth pin in this section, if it gets
lost.

If the Cockpit App is not easily

accessible, the individual can use a
motion pattern. This involves
bouncing on the prosthesis 3 (or 4)
times in succession. 

The reference line should pass

through the socket reference point,
through the knee center, and 30 mm
posterior to the middle of the foot.
Stance flexion is initially set by
having the patient sit down. It is then
verified on ramps or stairs.

The three required criteria to disable

Safety Mode as a default state are
body weight, foot type/size, and knee
center to floor measurement.

Calibration should be completed after

all static and dynamic alignment
changes.

Contraindications include very high

impact activities, individuals who
cannot cognitively manage an MPK,
and individuals who weight over 136
kg. (300 lbs.)
 In bench alignment :

Ÿ The reference line should pass

through
 the socket reference point and 5mm
posterior to the C-Leg knee center.
The C-Leg should have a slight
anterior lean in bench alignment.

Ÿ Add a 5mm lift under the patient's

shoe. 

To use the cockpit app: internet and

Bluetooth connections are required.

Intuitive locking of the joint

The intuitive stance function
recognises any situation that puts
strain on the prosthesis in the flexion
direction but where flexion is not
permitted. Examples of this include
standing on uneven or sloping
surfaces. The knee joint is always
locked in the flexion direction when
the prosthetic leg is
not fully extended and is kept still for
a brief moment. Upon forward or
backward rollover
or extension, the level of resistance is
immediately reduced to stance phase
resistance again.
The knee joint is not locked when the
above conditions are met and a
sitting position is assumed
(for example while driving).

Manual joint lock

1) Flex the joint between 5° and 65°
and keep it still for one second.
2) Slowly extend the joint up to the
desired standing angle.
3) In this position, keep the joint still
for one second until it vibrates.
→ The blocked joint can now be fully
loaded in the flexion direction.
Releasing the manual joint lock
► Quickly extend the joint or tilt the
thigh slightly forward or more than
50° back.