Transtibial Prosthetics. Part of the Prosthetics & Orthotics series of the Reflex PM&R Board Review podcast. Audio corrections: (1) In the audio: a below-knee amputee presents with a severe foot drop — an inability to lift the foot — and a new foot drop after a new transtibial prosthesis is peroneal nerve compression at the fibular head until proven otherwise — Correct: In a transtibial amputee there is no ankle or foot distal to the amputation, so common peroneal compression at the fibular neck CANNOT produce foot drop — there is no dorsiflexion, eversion, or toe extension left to lose. What it produces is residual-limb pain and dysesthesia in the peroneal distribution, sometimes with distorted phantom sensation referred to the absent foot. The board rule is: new proximal-lateral residual-limb pain or dysesthesia after a new transtibial prosthesis = peroneal nerve compression at the fibular head until proven otherwise. Classic foot drop from fibular-head compression is the INTACT-limb version of this same danger (a tight cast, a knee brace, habitual leg-crossing), not a prosthesis wearer. The fix is unchanged: deepen and broaden the relief over the fibular head; on the positive model, add to relieve. (2) In the audio: socket compression of the peroneal nerve at the fibular head causes profound weakness in the motor nerves that would have travelled down to the anterior compartment to lift the foot into dorsiflexion — Correct: There is no distal motor deficit to find. The anterior- and lateral-compartment muscles that dorsiflex and evert the ankle, and their tendons, were removed with the amputation, so there is nothing below the socket for the nerve to weaken. The deficit produced by fibular-neck compression in a transtibial amputee is sensory: residual-limb pain and dysesthesia in the peroneal distribution, plus referred (phantom) sensation in the absent foot. A completed injury progresses to a dense, persistent peroneal sensory deficit in the residual limb with worsening neuropathic and referred phantom pain — not to a motor foot drop. The written chapter is correct. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/PO-04.