After the amputation, you should be fitted with the best prosthesis for your needs. What prostheses can be considered for you depends on various factors.
Factors that influence the selection of a suitable prosthesis for you include your physical fitness and health, the amputation level, your requirements for the prosthesis and your private and work environment. Your prosthetist will advise you on all these aspects and work with you to select the prosthesis and the corresponding components.
Why have/wear a prostheses?
As with medical technology in general, the further development of prostheses is based on human physiology as a model. Modern high-tech prostheses are gradually coming closer to this model. Human sensitivity presents a special challenge here, since it is very difficult to simulate. Yet your prosthesis fulfils numerous indispensable functions: It restores a large part of your mobility and helps you master everyday life without the help of others. By wearing your prosthesis, you avoid posture problems and balance impairments that could result because the weight of the amputated leg is lacking. Wearing your prosthesis also avoids overloading your sound leg, which could result in problems over the long term.
The process of fitting you with your final prosthesis begins once the residual limb of your leg has healed and you are once again in good physical condition. However, your prosthetist will consult with you even before that, starting off by asking you a few questions in order to learn about your needs and wishes. He or she will also examine your residual limb shortly after the amputation and find out whether an interim prosthesis is possible for you. A doctor will also attend your fitting if you desire or your prosthetist considers it necessary.
After this initial examination, your prosthetist will propose various fitting options and discuss them with you. Three topics are of key importance here:
- The selection of components
- The prosthesis socket
- Prosthetic alignment
All three topics have to be sufficiently discussed so that the results meet your requirements and those of the rehabilitation team. Only then is the process started to fit you with a socket, and your prosthetist selects the prosthesis components based on the Mobis® system. The prosthesis can be completed after that, i.e. the final prosthesis is fabricated and equipped with a cosmetic cover.
When the proper fit of the socket has been achieved after several trial fittings and the prosthesis components have been selected, the socket and components are assembled. This prosthetic alignment process can vary from patient to patient, since the body posture and height play a role for example.
Your prosthetist bases the alignment of the prosthesis on the examination results and existing guidelines.
Additional trial fittings follow once the prosthesis is ready. With the help of a device known as the Ottobock L.A.S.A.R. Posture, the prosthetist checks the prosthetic alignment and precisely adapts the prosthesis to your requirements. Then you can take the first steps with your new prosthesis.