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Unroll your silicone liner so that it's inside out. Then, place your stump into the bottom of the liner. Roll the liner back up over your residual limb. It should fit snugly, but not feel uncomfortable. When the silicone liner is fully in place, the strap or pin emerging from the bottom of the liner should be centered over your residual limb. Not all prostheses require the use of a silicone liner. If your doctor didn't give you a liner, you don't need to wear one when putting on your prosthesis. Lower the strap into the open top of the cupped portion of your prosthesis. The bottom of the cupped section (which will hold your residual limb) should have a 2in (5.1cm) slot. Feed the strap through this small slot. Let the strap hang down to the ground for now. Then place your stump into the cupped section of the prosthesis. If your silicone liner has a pin at the base instead of a strap, this will work a little differently. Just push your residual limb into the prosthesis and put downward pressure on it until your pin clicks and locks. Below the cupped socket that you put your residual limb into there will be a pipe that supports the limb, followed by an extremity piece that is designed to look like a real hand, foot, or other limbs. Your silicone liner will be 46 inches (1015cm) longer than is needed to cover your residual limb. Grasp the excess silicone and fold it back down so it covers the top of the cupped socket. This will keep your prosthetic limb anchored firmly against your residual limb. It will also serve as a cushion so that the cupped part of the prosthetic limb doesn't rub directly on your limb. Lift up the strap that you fed through the bottom of the prosthesis earlier. Slip the loose end of the strap through the O-shaped ring that's at the top of the prosthesis's cupped socket. Then secure the strap in place by hooking its loose end to the Velcro patch next to the slot that you fed the strap through earlier. When it's hooked into place, this strap keeps the base of the silicone liner (which contains your stump) firmly in place inside the cupped socket. This allows the prosthesis to move naturally as you walk as if it were part of your body. To remove the prosthesis, simply un-hook the Velcro, loop the strap back through the O-ring, and lift your stump out of the prosthesis' cupped socket. Many people have prosthetic limbs that attach with a pin at the bottom of the silicone sleeve. To remove the leg, simply press in on the small button located at the bottom of the limb, just above the foot. Some people like to customize their prostheses with thin nylon sleeves. Put on the sleeve like a large sock: stretch out the opening, stick the prosthesis through, and then stretch the sleeve up until it fully covers the prosthesis. If you choose not to wear a sleeve, you may skip this step. The sleeves come in different colors and patterns (e.g., tie-dye or camouflage) and can be purchased through medical-supply stores.
Roll the silicone liner on to your residual limb. Pull the strap through your prosthesis and insert your residual limb. Pull the top of the silicone liner over the top of the prosthesis. Feed the strap up and through the ring at the top of the prosthesis. Roll up a nylon sleeve if you prefer to cover the prosthesis.