Abstract
Clinical experience with the modular socket system (MSS) was acquired from four patients on maintenance dialysis who underwent transtibial amputation. Although a longer period was required until socket production in three patients with delayed wound healing, all the patients could be discharged within two months after the production of the gap socket, including MSS production. At the time of discharge, all four patients were capable of independent indoor walking, and three of four patients were capable of independent outdoor walking. After production of the MSS, the sockets fitted well and there was no need for fine adjustment of the sockets, which is a merit of the MSS. The MSS system including the gap socket was also effective for transtibial amputees on maintenance dialysis.