Lower extremity Prosthetic or artificial limb:: an artificial device to replace or augment a missing or impaired part of the lower body.
Partial Foot Prostheses:: the partial foot amputation is the most common type in the united states. Patients who undergo amputation of the toes or a disarticulation of the metatarsophelangeal joint will use devices such as insoles or toe fillers. These devices tend to be made of foams with varying degrees of compliance to fill the shoe and redistribute pressure. These devices do tend to effectively redistribute pressure away from the sensitive amputation site to the surrounding intact skin.
Trans-metatarsal Prostheses:: the transmetatarsal amputations would more likely require more robust functional bracing like AFOs or prosthesis incorporating an extensive socket that encompasses the lower leg and remaining foot while limiting ankle motion. These devices are more commonly known as “above ankle” devices.
Trans-tibial or Below Knee Prostheses:: the most common socket used is some form of the patellar-Tendon-Bearing design where all of the weight of the amputee is carried through the stump. The socket totally encloses the stump and usually contains a “soft” liner to provide a cushioning effect, although many amputees prefer a “hard” socket because it is considered to be cooler. The prosthesis may be held in place by any of a number of ways: by a cuff above the knee cap, by the shape of the brim of the socket, or by suction between the socket and amputee produced by an elastic sleeve or flexible inner liner of silicone and attached mechanically to the prosthesis.
Trans-femoral or Above Knee Prostheses:: most sockets for above-knee prostheses cover the entire stump. There are several designs available to take maximum advantage of the muscles in the stump of the individual amputee for control of the prosthesis and for transferring the weight of the amputee to the floor. For most patients, the prosthesis can be held in place by suction or vacuum provided by a close fit between stump and socket. With this type of prosthesis, a knee and ankle system are required.
Hip disarticulation/Hemipelvicomy prostheses:: hip disarticulation is the surgical removal of the entire lower limb by transection through the hip joint including a portion of the ilium. The prosthetist must detail the socket closely around the anterior pubic bone, the posterior sacrum, the ischial tuberosity, and the ileac crest. With this type of prosthesis, a knee and ankle system are required.
Bilateral prostheses:: Bilateral refers to both limbs being amputated. For bilateral leg amputees, rehabilitation should be emphasized as early as possible to maximize ambulatory potential and to help alleviate possible gait or motion control problems associated with contracture (the tightening of muscles around the residual joint, which can restrict an amputee’s range of motion).
PFFD prostheses:: (proximal femoral Focal Deficiency) the most apparent functional deficit in PFFD is the shortened limb. A less obvious one is the difficulty with hip function and stability. We can provide a prosthesis for this type of surgery.
Upper Extremity Prosthesis:: an artificial device to replace or augment a missing or impaired part of the upper body. There are several different types available.