#transtibial
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robbiereyesangr114 · 1 year ago
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Sooo after an ADHD Induced research spiral that lasted longer than it should have, I've come to an educated guestimate of where Robbie leg would've been severed at. As pictured above, you can see the bottom curvature of his Gastrocnemius Muscle going towards the amputation site meaning it was severed close to there and given how much of his leg is showed to be cut off in panels it's safe to say it was severed near the top connection to the Calcaneal "Achilles" Tendon. Given it was amputated with a chainsaw, it wouldve been far from the cleanest cut bone as being jagged and uneven goes (unless Deathlok smoothed out the bones out for him while he was stuck in Ghost Rider form, which makes sense story wise). That being said, it would be easier for him to operate and get used to a transtibial prosthetic leg than anyone else since his body would *theoretically* heal itself in a way to accommodate the missing parts during his transformation back into his human form with what bone length, muscles, tendons, etc he has left.
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Some fun atonomy and prosthetic atonomy for reference, don't mind my 2AM ADHD Ghost Rider spiral and ramblings, it's been a long shift 😂 figured it'll help with any artists drawing Robbie in the future
@cicada-candy @wazzappp @belushiii
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bullet-prooflove · 2 months ago
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Overcompensating: Jack Abbot x Reader
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Tagging: @kmc1989 @cosmic-psychickitty @ilariyalavorowrites @spooky-librarian-ghost
Thank you to the wonderful @caffeinatedwoman for sparking this idea.
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Jack is in pain.
He hides it well but you can tell from the slight shift of his weight, the way he’s started to lean on things during the quieter moments when he thinks that no one’s looking. It’s only going to get worse because he’s six hours into his shift and it’s hasn’t even reached the witching hour yet.
“You need to sit down.” You say forcefully as you use your foot to kick one of the rolling stools towards him. “You’re going to fuck up your hip.”
“Nah, it’s all good.” He says, kicking it back towards you with his bad leg. It rolls into the halfway space between the two of you and you give him a pointed look.
“Jack.” You say with exasperation. “Nobody is going to think you’re weak for needing to take a breather. Your hip must be on fire right now. I can literally see you overcompensating.”
He straightens up, his mouth fixing in grim line as he glowers at you. You roll your eyes before taking his hand and pulling him towards one of the closed off treatment rooms.
“Sit.” You say gesturing at the bed and he sighs before parking himself on the edge as you draw the curtain across the window for a little privacy.
“Faye, I don’t need you to coddle me.” He tells you as you crouch down in front of him and roll up the leg of his scrubs to reveal his prosthetic leg. It’s a transtibial prosthesis that ends just below his right knee. The life span of each one is between 3-5 years and Jack’s is well past it’s sell by date.
He’s been fitted for another but due to the new tariffs, there’s been a delay on sending it over from the manufacturer in Germany. The misalignment of the ball joint mechanism is what’s causing his hip problems. It knocks him off kilter, distributing his weight unevenly which leads to putting additional pressure on his hip, back and thigh. It’s the reason he spends hours after his shift on the couch or in bed with a heat pack on his hip.
“You clearly do.” You remark as you help to remove the leg. He hisses in relief as the extra weight is removed, leaning back on his hands to relieve some of the pain at the base of his spine.
Your hands glide up his thigh, fingertips digging into the tense muscles to relieve some of the ache from the overcompensation.
“How’s that feeling?” You ask him and he huffs in response. “Jack baby, use your words.”
“Better, good.” He tells you, his head tipped back towards the ceiling as he closes his eyes “Now if you could just shift your right hand a little higher…”
“Handjobs are for good boys who listen to their wives.” You remind him as you work over the knots in his hamstring.
“And what do bad boys get?” He asks, the ghost of a smile crossing his lips, indicating the pain is starting to subside. You shift between his parted legs, leaning in close. Your lips brushing over that naughty little spot just underneath the hinge of his jaw and his breath hitches at the sensation of your teeth grazing over it.
“I guess we’ll have to wait and see when we get home, won't we soldier.”
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tyquu · 1 year ago
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Absolutely love your prosthetic Ezra AU. Arts so wonderful and stunning (Sorry if I spell it wrong, English is not my first language)
If you don't watch Asoka show you can ignore my question, because of spoilers)))
I have a bunch of little questions. Ezra spent almost ten years in other galaxy. What is the quality of his prosthesis when he returned home? How did he deal with breakdowns without the right tools and parts?
Anyway, love your AUs and amazing art style!
Wahhh thank you so much! Glad to hear you like the AU!
So I haven’t actually finished Ahsoka (I know, im sorry 😭) but at this point I feel like I know roughly enough to take a crack at this! So here’s what I came up with;
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So, Ezra’s cybernetic, as discussed in the post where I went into detail on it, requires pretty regular maintenance in order to function. Stranded on Peridea and without access to any med care/tech from the chimera, Ezra’s cybernetic would begin to go faulty within months.
At most he’d probably be able to make things just about work for three months post crash before it would have to come off. Grabbing a stick to use as a cane, there would be a few months where he has to really go back to basics, and it is not ideal.
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However, Ezra would get crafty! Either with supplies he’d have stolen from the chimera or gathered on his own, and he’d end up with various self made peg legs! They aren’t perfect but with every iteration tend to get a bit better.
After staying with the Noti for a while, he’d finally have access to better materials and craftsmanship, and make a final design for his post crash prosthetic. It includes an adjustable buckle, prosthetic knee mechanism, and polished wood transtibial prostheses below the knee.
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Obviously it would still need the occasional part replacement due to wear and tear as time goes on, but I don’t think it would change drastically from this point onwards, not until he gets back to lesser space of course, where I’m sure he’d go get checked out by a whole med team and possibly get his cybernetic replaced
But yeah!! That’s all I’ve got. I’m not a massive Ahsoka believer tbh, and I kinda split off in the middle to dabble a little bit on what an “Ezra and Thrawn in wild space adventures” prosthetic situation would end up being like. Especially with the possibility of introducing the ascendancy. But I decided to halt that train of thought for now so I could address the Ahsoka show specifically 🫡
Thanks again for the ask! Hope this sort of makes sense (and please do let me know if it doesn’t!) :D)
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lassie-farce · 2 months ago
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sometimes life is funny and you see a take where someone mentions an amputee doctor on the pitt but not by name so you assume robby and have to wait to watch the last ep bc life and responsibilities but brain’s running wild and you end up with an au you didn’t know was one where robby and jack are both vets and robby is a double transtibial amputee and the universe has like 15 pages of backstory written on the bus
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immortalmuses · 4 months ago
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Peeta's Leg Prosthesis
ㅤㅤㅤThrough no real fault of Katniss's actions, we know that Peeta ends up losing his lower leg in the wake of the 74th Hunger Games. The muttations mangled his calf to the bone, and a subsequent infection led to blood and marrow poisoning regardless of Katniss's attempted tourniquet. By the time the pair were brought to medical after being declared winners, even the advanced healing techniques of the Capitol couldn't save Peeta's lower leg.
ㅤㅤㅤ(Or so we are told. Perhaps the Capitol medics didn't want to save his leg. After all, a Victor with a permanent limp makes for excellent marketing.)
ㅤㅤㅤPeeta has a transtibial amputation, which leaves him in need of a below knee prosthesis. As a Victor, he's is provided with a fairly sophisticated prosthetic (comparatively), which is designed to be comfortable for walking and standing for moderate amounts of time. The leg boasts a biomimetic hydraulic function in the ankle and foot to replicate movement with a biological limb, and has a microprocessor to adjust control of its hydraulics. This microprocessor tracks Peeta's movement patterns in order to improve his mobility, but it also ensures the Capitol can keep track of his actions even when they aren't watching. Hypothetically, the Capitol could also utilize the microprocessor to hijack Peeta's leg, leaving him unable to flee/resist if he's gone against Capitol directives.
ㅤㅤㅤIn addition to its mechanics, the prosthetic is fitted with an outer chassis that emulates the shape of an actual shin and calf muscle, ornately decorated in Victor's colors. While comfortable enough for the basics, the prosthetic is ill-suited for any kind of strenuous activity or sport. Fortunately, Peeta is able to remove the leg socket and suspension liner so his remedial limb can breathe, but he's careful to only do so behind closed doors and out of sight of others, even Katniss.
ㅤㅤㅤPerhaps the most important element of the prosthetic is how it is very clearly not Peeta's property. Like the fully furnished houses given to them in Victor's Village and the Clothes provided for their promotional trips to District parties and events, this prosthetic leg belongs to the Capitol. It's only granted to Peeta as part of the required trappings of any Victor.
ㅤㅤㅤBut then the Quarter Quell is announced, and Peeta volunteers in the Reaping (because of course he does). An ornamental prosthesis designed for walking and standing would not last five minutes in an Arena, water-based map or otherwise. The Capitol is left the question of what to do with Mellark's below knee amputation.
ㅤㅤㅤThey don't technically have to give him a prosthetic at all, since they don't provide upper body prosthesis to any other tribute. But considering how well-liked the Baker's Son is amongst the Game's audiences (and how well he manipulates his pre-game interviews), it'd only be more Bad Press if they didn't at least grant him some leg to stand on (ha ha, see what I did there?).
ㅤㅤㅤBut what kind of prosthesis to provide? The gamemakers don't want to give him a swimmer's fin, both because those types of prosthetics aren't designed for use out of water and because it would immediately ruin the "surprise" of the Arena map. So they instead opt for an adaptable waterproof prosthetic with as tight of a fit to his residual limb as possible. Considering the suits they are outfitted with for the Quarter Quell, the prosthetic might even be an integrated part of his suit, or permanently bonded to his leg for the duration of the Game. This is to reduce the odds of sand and debris working its way into his liner and prosthesis socket, as well as seal out damage to the mechanical components of the prosthetic leg (which it almost certainly suffered anyway, due to prolonged exposure to salt water and the electrical shock Peeta recieved from the Arena barrier).
ㅤㅤㅤThe result is a more restrictive, more painful prosthesis that Peeta must wear non-stop for the entirety of the Quarter Quell, which any amputee would know is sheer misery. There's a good chance that either the prolonged exposure to salt water or the electric shock of the force field caused the mechanical joints in the limb to break down, which would further limit his mobility. Even if Peeta had been rescued from the Arena, there's a reasonable expectation that the Gamemakers might have planted his tracker in his prosthetic, which would have been far more difficult to remove. The Capitol could have used this to track the Rebels back to their base in District 13.
ㅤㅤㅤThere is more to be said about Peeta's leg following his re-capture by the Capitol, his torture and brainwashing via tracker jacker venom, and his existence once he's recovered by the rebels, but that will feature an entirely different nature of prosthetics and will have to be extended in a part two. :)
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therightrighthand · 1 year ago
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I'm sorry if this is a stupid question, but I'm having a hard time being able to tell with certainty : Did Nicole get amputated above or below her knee?
Silly Headcanon : Back before they were dating, Delany watched Top Gun to try and figure out how to flirt with pilots.
Nicole has two transtibial prostheses (Bellow the knee) so she has leg movement! And Delany's never seen Topgun, she's just a natural at picking people up, and then running away from her commitment issues <:
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cpunkwitch · 1 year ago
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A list of mobility aids.
Because listing calms me.
Just listing, no other purpose, feel free to comment to add
og creation date: feb 29th
Animals:
Guide dog
Mobility assistance dog
Braces:
Arm brace, ankle brace, arm splint, ankle-foot brace
Back brace
Foot brace, foot orthotics, foot orthoses
Hip brace
Knee brace, knee splint, knee-ankle-foot brace
Leg brace, leg splint
Spinal orthoses
Wrist brace
Canes, crutches and walkers:
Adjustable cane, axilla crutch
Crook cane, crutches, crosstour rolling walker
Derby cane, drive nitro rollator, days two button walker
Eva support walker, elbow crutch
Foldable cane, fritz cane, folding walker, forearm crutch
Gait trainer, gutter crutch
Hemiwalker
Knee walker
Lofstrand crutch
Palm grip cane, pediatric walker
Quad cane
Rollator walker, rolling walker
Single tip cane, seat cane, standard walker
Trolley walker
Underarm crutch
Walking stick, walker
Bariatric cane, bariatric walker
Chairs:
Bariatric wheelchair
Electric wheelchair
Lightweight wheelchair
Mobility scooter, manual wheelchair
Power chair, pediatric wheelchair, portable stair climber
Reclining wheelchair
Sports wheelchair, standard wheelchair
Transport Wheelchair, tilt wheelchair
Prosthetics:
Electric prostheses
Hybrid prostheses, hip disarticulation, hemipelvectomy prostheses
Myoelectric-driven prostheses
Prosthetic leg/arm/hand/foot/finger/hip/knee, partial foot prostheses, prosthetic interface, passive prostheses, partial hand prostheses
Shoulder disarticulation
Transfemoral, transhumeral, transtibial, transradial
edit: march 28th
stopping this here because this list is stupid, help me make a better one?
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clatterbane · 10 months ago
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My first real appointment through orthopedics to finally try and get set up with an aftermarket leg is coming up on Monday.
The previous referral last year just didn't work out, for multiple reasons, and I was a bit bummed over that. I think part of the problem was it falling through the cracks because nobody really seems to be sure what to do with somebody showing up from completely outside their system already minus a leg.
But, we thought to ask that new endo for a fresh referral. So, I did get an intake appointment set up through ortho, with no schedule collisions this time.
In one way, I'm excited to hopefully get moving toward with the process of getting set up with a prosthetic. I would really like to be able to get around better again! And, you know, be able to take my sorry ass off paved surfaces and up steps and stuff again!
OTOH, due to the person I am? I am trying not to borrow too much trouble and drive myself crazy worrying in the meantime. Especially the closer that draws.
Frankly, not least that somebody is gonna just say, "Oops, it's been so long and this entire situation does not fit into any familiar procedures. We just can't/won't help you!”
Yeah, I know there is going to be an awful lot of PT ahead, likely before I even get to the point of any fitting. I have some other concerns about that, after some sufficiently unpleasant experiences as a troublesome-bendy individual, with rehab-focused PT after injuries/knee surgeries (directly coming from the probably-EDS) in the past. My knees are also pretty damned terrible, and also kinda further destabilized by said surgical tinkering.
But, I am much older and more confident now--and not nearly as eager to take any "no pain, no gain!" bullshit seriously. Much less push in ill-advised ways until I do my bendy self an injury.
But yeah, even right now? I would place good money if I had it on the likelihood that I am currently in better shape than 75% of the new patients they see much sooner than this after surgery. Who are statistically much older and otherwise in pretty damned bad health. Probably I've been staying more physically active over the past few years than a lot of that demographic have been able to, even under the current circumstances
Mean age at the time of the first registered amputation in our sample was 74 years (SD 14); women were older (78, SD 14, CI 77–79) than men (72, SD 14, CI 72–73). 43% of the patients were 80 years or older by the time of the primary amputation (Figure 3). The mortality rate of the registered patients was 19% within 6 months and 24% within the 1st year after the last registered amputation. The 1-year mortality rate after TFA was 40%, after KD 38%, and after TTA 24%.
("Lucky" transtibial/TTA here. Those figures are from the Swedish national database, BTW. Because there is one. You see dire mortality rates after this sort of surgery come up? That's a lot of why. Those demographics and the occasional nasty accident requiring amputation seriously skew things.)
There were reasons they kept going on about how young and healthy my middle-aged ass that had just barely cheated death was when I was stuck in the hospital in Romford. And therefore considered a candidate for prosthetics at all under that system. Not going off on that rant right now.
Still, the majority of those elderly patients in otherwise not great shape DO get successfully set up on replacement legs here. Which is encouraging, that they are likely not looking hard for excuses to avoid spending the money. (We're talking the equivalent of a new not-cheap car, back in the US. Region Skåne is still set to lay out a fair chunk of change here. We are thankfully not directly.)
I do rationally doubt that I would get turned away just because I have been off that leg for several years now, and my knees were terrible even before that. And I fucking suck at trying to use forearm crutches, which I am not at all used to and have a very different feel than the type I do have too much experience on.
But yeah, my brain just won't leave things alone as usual. That's just one of the crappiest possibilities it's seized onto right now.
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creatureshrieks · 2 months ago
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Lawrence has a transtibial foot prosthetic and, though John did give him one, he... absolutely got a better one, eventually. John most likely gave him a very basic SACH (Solid ankle cushioned heel) prosthetic. Something very simple for him to wear just to ambulate. John isn't a doctor, he's an architect and though he did create him one, it wasn't one perfectly 'fitted' to his limb. He also probably required surgery to actually have a decent leg instead of just a poorly cauterized stump. It was after John let him go and he was able to enter back into society did he look into getting himself a better prosthetic. At the time of 3D, he most likely has gotten himself an axial prosthetic foot or a hydraulic ankle-foot. He's wealthy enough to afford them and would definitely want something that offered ease and comfort. He also doesn't engage in sports and only really uses his foot for the purposes of walking, so he doesn't need anything specialty crafted. He still uses a cane for stability purposes.
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dailycrippledcharacters · 1 year ago
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Birch Persil (Leif & Thorn)
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[Image Description: Official art from the web comic. The art is a sketch on paper that is made to look aged. Birch, a chubby man with short hair. He is sitting with his legs crossed. One of his legs is amputated below the knee. He is not wearing a prosthetic. He is wearing a tunic and shorts. In one hand, he has a thin rapier. Text beside him reads: Transtibial Amputation. End ID.]
Birch is an amputee.
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theivorlegov1 · 1 year ago
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Reparação cirúrgica da amputação transtibial - Preparing an LBK teen boy accident victim amputee for his first prosthetic fitting - Video.
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lupinus-bicolor · 2 years ago
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Ok. I feel like some of you saw fanfic authors don't know how long it takes for a transtibial amputee to recover, let alone start walking with a prosthesis
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oh-shinx · 2 years ago
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I've reblogged with the advice of a Metagross, but they might be a tad intimidating for your purposes.
However, I maintain that a psychic type is absolutely your best bet in regards to a service Pokémon for the young one, as their telepathy and intelligence makes them very easily trained and able to respond read a person and respond to their needs. In particular, a larger one that is able to provide physical support and carry loads would be ideal.
A Hatterene would fit in well with your fairy types, and a Claydol is relatively physically strong without being quite so intimidating (although not the best for cohabitation with water types). Perhaps a Bronzong, Oranguru or Gothitelle would be good for you to consider.
As an ecologist I know a fair amount about Pokémon cohabitation and as a double transtibial amputee I know firsthand how different service Pokémon can be of use, so I hope you'll put these options high on your list of considerations.
-Kind regards, Professor Primm Baobab
(@pokemon-ecological-studies)
I do not know what a hatterene is, sadly, although I might have seen the name in a fashion history book before!!!!!!! Claydol are definitely interesting!!!!!!!!!!! I also do not know what an oranguru is.......... Gothitelle is a bit interesting for reasons................. Thank you for your advice!!!!!!!!!!!!!!!!!!
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relax-and-drink-on · 7 months ago
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Hu! Never quite realised that Curly had so much limbs left. So, here is a quick overview of his possible amputation/injuries for pwople who might be interested :
- Transtibial amputation ( below the knee, preserving the joint) of the right leg. The most common of amputation. Technically not too difficult, if you know what you are doing. Painful, but easy to get prostetic for.
- an ankle amputation to the left, wich is much rarer, and seem abrupt on the model. Guillotine amputation is my guess? It would fit, as that is a pretty extreme measure usually that require further surgery. Surprising. Maybe a Syme amputation that went wrong.
- right arm wrist disarticulation is my guest. Much easier to do a removal in the upper limbs, seem pretty decent. Probably his least painful/difficult limb.
- transradial on the left arm. Seem abrumpt and the character model seem to be swolen at the elbow. Further infection possible.
- right side of his face: seem swollen. Might be infected. Possibly had that eye rwmoved not that long ago, would explain why bandagws and focused on that area.
- Mouth: might actually have injuried ligament/lower jaw/shattered the bone there. The bandages are probably an attempt at keeping his poor jaw in place.
- the eye: probanly has absolute shit, blurred vision. The eye is red and exposed, he probably has scratches on it from daily life. Hell.
- his throat probably suffered from flame inhalation, and he probably has scar tissues in his mouth/throat/lost his tongue, wich would explain his muteness. Dangerous, might cause issue with breathing.
- and finally... the skin. The major issue. He clearly has 3rd degree burns, healing. Now, the color of his skin is actually reassuring! It show clear progress, and no outward sign of infection. Dark Red is good, and it doesn't seme to be oozing. He might have contracture scars all over however, and not be able to feel most things. He really doesn't seem "wet", wich is also a good thing. In general, very horrific thing, but pretty ok in this scenario!
So, that was a quick not so profesional opinion!
reuploading the mouthwashing refs. apparently people kept spreading them around without crediting the person who ripped the models, and they reached out to me and asked to take the post down due to this.
However, they did provide me with (watermarked) references, free to repost! so tysm brokenvideotape on discord for providing these.
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The models were ripped from the game and onto VrChat.
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suratdiabeticfootcare · 1 month ago
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Prosthesis for Legs Prosthesis for Legs: Regaining Independence with the Right Leg Prosthetic Types.
Losing a limb can be one of life’s most difficult transitions but with the right prosthesis for your legs, it’s possible to reclaim your independence, mobility, and quality of life. Whether the cause is trauma, vascular conditions, cancer, or complications from diabetes, modern prosthetic limbs are designed to support recovery, function, and confidence.
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Understanding Different Leg Prosthetic Types
There are several leg prosthetic types, each suited to specific levels of amputation and individual goals:
Below-Knee Prosthesis Leg (Transtibial): This is one of the most common prosthetic types. It preserves the natural knee joint, which allows for a smoother, more energy-efficient walking pattern. It is often easier to adapt to and provides greater stability.
Above-Knee Prosthesis Leg (Transfemoral): In this case, the prosthesis includes an artificial knee joint. While it may require more strength and training to use, advances in microprocessor-controlled knees have significantly improved mobility, balance, and safety.
Hip Disarticulation Prosthetics: These are used in rare but complex cases involving full leg removal at the hip level. They involve a highly specialized design and extensive rehabilitation, but they enable basic ambulation and improved upper-body engagement.
Artificial Foot Prosthetics: These components form the foundation of any lower-limb prosthesis. From solid ankle cushioned heel (SACH) feet to dynamic response energy-storing feet, options vary based on lifestyle—whether for everyday walking or athletic performance.
Choosing the Right Prosthesis for Legs
Finding the right prosthetic leg isn’t a one-size-fits-all decision. Factors such as age, activity level, occupational needs, medical history, and personal goals all influence the selection. Individuals who lead active lifestyles may opt for prosthetics with higher mobility features, while older adults may prefer options focused on stability and comfort.
Budget and insurance coverage also play a role. While basic prosthetics are more affordable, advanced limbs with microprocessors and shock absorption features offer enhanced functionality but at a higher cost.
Special Consideration: Diabetic Foot Care
For individuals with diabetes, prosthetic selection and maintenance require extra caution. Nerve damage (neuropathy), poor circulation, and fragile skin increase the risk of infections, ulcers, and delayed healing.
A below-knee prosthesis leg designed with extra cushioning, seamless liners, and adjustable sockets can reduce pressure points and friction. Regular visits to a prosthetist, along with daily foot inspections and podiatric care, are essential to long-term success and comfort.
The Prosthetic Fitting and Rehabilitation Journey
Getting a prosthesis involves several steps:
Initial assessment and custom measurements
Fabrication of the socket and alignment of components
Fittings and test walks
Gait training and physical therapy
This process is especially important for artificial foot prosthetics, which need to match the person’s walking style and terrain exposure.
With time, users typically progress from assistive devices to walking independently. Emotional and psychological support also plays a key role throughout this journey.
Conclusion
A high-quality prosthesis for legs can redefine life after amputation. By understanding the different types of prosthetic limbs—from transtibial to transfemoral—and incorporating essential diabetic foot care, individuals can walk confidently toward a renewed, independent life. Each step becomes a testament to resilience, technology, and personalized care.
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mobility-hdprosthetic-2024 · 8 months ago
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The Role of Lower Limb Prosthetics in Restoring Quality of Life
Lower Limb Prosthetics are sophisticated devices designed to replace a missing leg or part of a leg, giving individuals the ability to walk, run, or perform various daily activities with improved mobility. They are used by people who have undergone amputations due to trauma, medical conditions, or congenital disabilities. The field of prosthetics has seen significant advancements, offering users a wide range of options, from basic mechanical limbs to highly advanced, computerized prosthetic systems that mimic the function of a natural limb.
Key Components of Lower Limb Prosthetics:
Socket: This is the interface between the residual limb (stump) and the prosthetic device. It is custom-made for each patient, ensuring a secure and comfortable fit. The socket plays a crucial role in transferring the body’s weight and movement into the prosthetic limb.
Pylon: The pylon forms the main supportive structure of the prosthetic limb. It can be made from various materials, including aluminum, titanium, or carbon fiber, depending on the user’s needs. Carbon fiber pylons are particularly popular for their lightweight and strength properties, especially for high-performance prosthetics.
Knee Unit (if above the knee): In transfemoral prosthetics (above-knee amputations), the knee unit is vital for walking. Modern knee units range from mechanical, where the user manually controls the knee motion, to microprocessor-controlled systems. These computerized knees adjust in real-time to changes in terrain and walking speed, providing a smoother, more natural gait.
Foot/Ankle Unit: For below-the-knee prosthetics (transtibial), the foot and ankle unit is another critical component. Basic prosthetic feet are often made of lightweight materials, allowing for passive motion. More advanced versions, such as energy-storing feet, store energy during the step and release it as the person walks, simulating the natural movement of a biological foot.
Types of Lower Limb Prosthetics:
Transtibial Prosthetics: These are for people with below-the-knee amputations. Since the knee joint is still intact, users often regain a near-normal walking ability, and modern prosthetic feet offer various degrees of flexibility and energy return.
Transfemoral Prosthetics: Designed for individuals with above-the-knee amputations, these prosthetics are more complex due to the need for a knee unit. The introduction of microprocessor-controlled knees has revolutionized mobility, offering smoother motion and better control.
Sports Prosthetics: For those who wish to remain active or engage in sports, specialized prosthetics are designed to meet high-performance demands. These devices are made of lightweight materials, such as carbon fiber, and can be customized for specific activities like running, swimming, or cycling.
Modern Advancements:
Lower limb prosthetics have evolved significantly, thanks to technological advances. Bionic prosthetics, which use robotics and sensors, have been a breakthrough. These devices detect subtle movements in the residual limb and automatically adjust to provide smoother, more intuitive motion. Some bionic prosthetics are even controlled by myoelectric signals, where the user’s muscle contractions control the movements of the prosthetic limb.
Microprocessor-controlled knees and ankles have enhanced the life of amputees by providing better stability and reducing the risk of falls. These devices can adjust the limb’s behavior based on the user’s walking speed, direction, and even the type of terrain they are on, ensuring that users experience more natural and comfortable movement.
Challenges and Considerations:
Fitting and comfort are critical for the long-term success of any prosthetic limb. Each lower limb prosthesis is custom-made, requiring precise measurements to ensure that the socket fits snugly but comfortably. A poorly fitted prosthetic can cause pain, skin irritation, and other complications.
Rehabilitation is also a vital aspect of the prosthetic journey. Individuals must undergo physical therapy to learn how to use the prosthesis effectively, regain their strength, and adapt to their new limb. Regular adjustments and maintenance of the prosthetic are necessary as the residual limb may change shape over time.
Conclusion:
Lower Limb Prosthetics have advanced significantly, offering users a wide range of options to meet their unique needs and preferences. With continuous improvements in materials, design, and technology, these devices are becoming more comfortable, functional, and accessible, allowing individuals to lead active, fulfilling lives post-amputation. Whether for daily activities or high-performance sports, lower limb prosthetics restore independence and greatly improve the quality of life for amputees.
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