3.4.5 Assembly of Prosthesis/Orthosis

Definition: Alignment, attachment, and structural reinforcement of elements of the prosthesis/orthosis in preparation for functional evaluation.

Code	Procedure	Description
1	Componentry attachment	Alignment and bonding of components to each other using glues, resins, plaster and/or screws.
2	Reinforcement of componentry attachment	Reinforcing component attachment for trial use using resins, reinforcement material e.g. fiberglass, carbon fiber.
3	Limb section fabrication	Shaping of two-part foam to socket, attaching componentry, using two-part foam, shaping tools, resins and reinforcement materials.
4	Joint alignment, contouring and attachment	Contouring joints and upright. Attachment of joints to prosthesis, using screws, rivets, resins, reinforcement material e.g. fiberglass.
5	Assembly of control systems onto prosthesis/orthosis	Aligning and attaching control systems onto prosthesis/orthosis prior to static functional evaluation with patient e.g. thigh corset, suspension systems, cabling systems, straps.
6	Initial alignment of prosthesis/orthosis	Aligning components and/or socket using patient-specific design criteria. Use of alignment tools such as heel height spacer, laser, level, plumb bob, and VFJ.
7	Static functional alignment	Alignment evaluation of an assembled prosthesis/orthosis, including all components or harnessing system, prior to positioning on the patient. Verifying socket and component alignment, initial joint control settings, height, location of harness/ suspension attachments, cabling and component function.
8	Evaluation of structural integrity	Evaluate prosthesis/orthosis for structural integrity prior to any evaluation with the patient.
9	Liner and pad attachment	Incorporating liner into prosthesis/orthosis may be temporary or permanent.
10	Strap attachment	Usually attached to the structural interface or structural components for functions such as containment, suspension and enhancement of joint function.
11	Tongue attachment	Increases the surface area of the structural interface; usually a semi-rigid material is used.
12	Cover attachment	Protecting or cosmetic coverings (usually soft or durable sewn materials) e.g. seating, joint covers
13	Attachment of external and/or internal build-up	Material added to the structural interface.
14	Attachment of uprights, joints and/or prefabricated kits	Using prefabricated kits to create the prosthesis/orthosis or part of prosthesis/orthosis e.g. dynamic hand orthosis or standing frame