Doorknobs can be difficult for the young and elderly to operate, especially infants. If a person lacks a firm grip a doorknob must sometimes be operated using two hands. For this reason doors in most commercial and industrial buildings and in many households now use an operating lever, rather than a doorknob, as the lever does not require a firm grip. Levers are also beneficial on doors with narrow stile widths where the reduced backset leaves insufficient space to comfortably turn a doorknob. In some countries like Germany, doorknobs are completely unknown and levers are used on all doors.
Most household doorknobs use a simple mechanism with a screw-style axle (called a spindle) that has at least one flat side, which is passed through the door latch, leaving some length exposed on each side of the door to which the knobs are attached. Knobs are attached on both sides by screwing them directly onto the spindle, and then securing one or more retaining screws (set screws) through the knob perpendicular to the flat of the spindle. Doorknobs that lose traction can frequently be repaired by replacing or adjusting the set screw, which prevents them from slipping on the spindle.
The location of the doorknob on the door may vary between a few centimeters away from the edge of the door to the exact center of the door, depending on local culture, decorative style or owner preference. The distance from the edge of the door to the center of the doorknob is called the backset.
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