A New Socket Prototype Design with a Heat-Exchanging Metal Layer for Individuals with Below-knee Amputation.

Background: Individuals who have undergone lower limb amputation often struggle with excessive heat and sweating in their prosthetic sockets. This is due to the closed environment of the socket, which disrupts the body's natural cooling mechanisms and can lead to increased skin temperature, sweating, and various skin problems. This study aimed to develop a new socket to alleviate heat buildup in those with below-knee amputation. Methods: A positive residual limb model of a below-knee amputee was used to create a new socket made of copper metal through electroforming. A cooling system was programmed so that if the temperature exceeded a predetermined threshold, the system would be activated to prevent further temperature increase. The participant wore the conventional and new socket with the cooling system, and his residual limb skin temperature was monitored using a temperature data logger. Results: Implementing the new socket led to a significant 5°C to 6°C reduction in temperature within the socket, greatly enhancing thermal comfort and reducing heat sensation for the users. Conclusion: By incorporating the new socket and cooling system, substantial reductions in heat accumulation within the prosthetic socket can be achieved.