Sep. 09, 2024
The next part of a prosthetic limb is called the suspension system. This part keeps the limb attached to the body of the user. This suspension system can use several mechanisms, namely straps, belts, and sleeves. Often, the suction mechanism is used in the suspension where the limb fits easily with the residual limb using the help of an airtight seal.
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Although the core parts of the replacement limbs may be the same, each prosthetic device is actually very unique and designed for a particular type and category of amputation. For this reason, each device is customized and designed according to the need of a patient.
For example, if the amputation were below the knee or above or below a major joint, the requirement of the type of a prosthetic would vary dramatically. An amputation above the knee is known as transfemoral amputation, which would require a device with a false knee, while an amputation below the knee, called transtibial amputation, would not need an artificial knee, as the patient could use their own knee.
The responsibility to customize a prosthetic device according to the need of the patient is given to a professional known as a prosthetist. This person is an expert and specializes in the fabrication and installation of prosthetic limbs. This person is usually skilled in engineering along with anatomy and physiology.
The design and fabrication process consists of several stages. The prosthetist can already begin working with the patient before the amputation. He or she can begin taking measurements and start the fabrication process. When the wound of the surgery has healed after several weeks, a plaster mold made from the residual limb is used as a template for making the duplicate limb.
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Computerized digital measurements are then taken for perfection in design. More attention is given to the structure of a patients residual limb along with the location of muscles, tendons, different bones, and the patients health and skin conditions.
It is extremely important to undergo physical therapy after the installation of a prosthetic device in order to help the patient get used to using the artificial limb. For example, it can be very difficult to learn to walk using a prosthetic leg, and it can take several months to learn with the proper rehabilitation and training. The prosthetist can then observe the person using the artificial limb and then, if needed, can adjust and fine-tune the device according to the patients needs.
The person responsible for this task should give close attention to the interface between the residual limb and prosthetic socket of the patient. The residual limb can shrink after the amputation or due to the lack of use of the muscle. Therefore, it is possible that a new socket may be required in order to accommodate the size reduction.
If the patient is a child, the prosthetist must give special attention to and work closely with them to ensure that the limbs are resized and replaced as needed to keep up with the natural growth of the child.
Typically, a patient needs to visit the prosthetist regularly for different reasons like an adjustment, change of shape or replacement of the prosthetic device. An average prosthetic device has a three-year lifespan according to the National Limb Loss Information Center.
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