Information about Amputation

Amputation – What Happens Now?

First and foremost: An amputation is a profound life change, but it marks the beginning of a new chapter. There are many ways to exchange ideas with others affected, whether via social media, in support groups, or through contact with “Peers” (affected persons counseling other affected persons). Orthopedic technicians, medical staff, and physiotherapy professionals are there to support you in mastering this new situation.

From our experience, we know that everyone deals with such challenges differently. Acceptance of the new situation has a significant influence on the further course and the shaping of everyday life, supported by modern prosthetic possibilities.

© Ottobock

Our Care Approach

An Individual Concept as the Foundation

A prosthesis works through the person who wears it. Before we begin with a fitting, we get to know you to form a detailed picture of your situation.

Is your amputation recent—or perhaps still upcoming? Have you been wearing prostheses for a long time? Do you need extensive advice—or do you already have clear ideas? What are your personal goals, what is your living environment like, and what are your daily requirements?

Once we understand who you are and where you want your journey to go, we work on a concept for a prosthesis that fits you and your personal capabilities.

Teamwork in
Care

We achieve our goals as a team—together with you, physiotherapy, medical staff, and funding bodies. When everyone pulls in the same direction, a functional result can be achieved.

Support in Every Phase

We meet you exactly where you are. We know the differences between an initial fitting and the follow-up care for people with long-term amputations.

Experience and Continuing Education

We view continuing education as an important part of our daily work. Many years of experience, combined with current knowledge, help us develop suitable care solutions.

Basics of Prosthetic Care

The Mobility Grades

Assessment of the Personal Situation

Before starting a prosthetic fitting, we conduct discussions and examinations to get a picture of the condition of the person to be treated.

First, a profile is created that depicts the current personal situation. This profile includes, among other things, the following information:

The Classification System of Mobility Grades

Based on this profile assessment, classification into one of five mobility grades takes place. These grades describe the activities that the user could potentially perform. This classification helps define the treatment goal: a prosthesis designed to support these specific activities.

The mobility grades also serve as important guidance for selecting components, defining therapy goals, and classification by funding bodies.

Our task is to select the appropriate prosthetic components in consultation with you and combine them into a functional fitting that corresponds to your situation.

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Mobility Grades

Overview of Mobility Grades

Mobility Grade 0

Mobility Grade 1

Mobility Grade 2

Mobility Grade 3

Mobility Grade 4

Indoor Transfer (Non-Ambulatory)

  • Definition: The user does not currently possess the ability, even with assistance, to move using a prosthesis or to use it for transfers.
  • Treatment Goal: Mobilization via wheelchair; no functional prosthetic fitting is provided.
  • If desired, a cosmetic restoration is possible. 

Indoor Walker

  • Definition: The user has the potential or ability to use a prosthesis for transfers and for locomotion on level surfaces at low speed. Walking distance and duration are severely limited due to physical condition.
  • Treatment Goal: Restoration of the ability to stand and walking ability restricted to indoor areas.

Restricted Outdoor Walker

  • Definition: The user has the potential or ability to move slowly with a prosthesis and to negotiate minor environmental obstacles (e.g., curbs, single steps, uneven ground). Walking distance and duration are limited due to physical condition.
  • Treatment Goal: Restoration of the ability to stand and walking ability limited to indoor and outdoor areas.

Unrestricted Outdoor Walker

  • Definition: The user has the potential or ability to move with a prosthesis at medium to high, as well as variable, walking speeds and to overcome most common environmental obstacles. They can move in open terrain and perform professional or therapeutic activities that do not subject the prosthesis to excessive mechanical stress. There may be an increased need for safety. Walking distance and duration are only insignificantly limited compared to non-amputees.
  • Treatment Goal: Restoration of the ability to stand and largely unrestricted walking ability indoors and outdoors.

High-Activity Outdoor Walker

  • Definition: The user has the potential or ability to move without restriction in outdoor areas with a prosthesis. Due to high functional demands, high impact levels, stress, and deformation may additionally occur. Walking distance and duration are not limited.
  • Treatment Goal: Restoration of the ability to stand as well as unrestricted walking and mobility capabilities indoors and outdoors.

Prosthetic Care

Reasons for Amputation

An amputation may become medically necessary for various reasons. A primary cause is often arterial occlusive disease (circulatory disorders). However, diabetes, tumors, accidents, or congenital malformations can also make a prosthetic fitting necessary.

The Pre-Operative Phase

Are you facing an amputation due to health reasons?

If possible, use the time beforehand to inform yourself comprehensively. Medical and psychological staff, but especially we as orthopedic technicians, can help discuss some of the worries and fears regarding the “after.”

We are happy to answer your questions about prosthetic care in a personal consultation. Being well-informed can help you look to the future with more confidence.

The Path After Surgery

An amputation initially changes life as you know it. To find your way in this new situation, several hurdles must be overcome. However, with support and commitment, these can be mastered.

Individually Fitted

From Proven to Custom-Made

Residual limbs change, just as the human body does in general. Due to so-called atrophy—the shrinking of muscle groups that no longer perform a function—residual limbs change over time.

These changes can become problematic years or decades after an amputation. Our
suppliers Otto Bock, Össur, Blatchford, Proteor, Ohio Willow Wood, Alps, among others
offer a large selection of
silicone liners A silicone liner is a silicone sleeve that serves, among other things, as a connecting element between the residual limb and the prosthesis.
that we use individually. Although these are highly effective, they are not always sufficient.

For this reason, we have specialized in custom-made 3D liners and silicone fittings for every type of amputation, ensuring that everyone has the chance to receive a suitable fitting.

The Phases After Amputation

An amputation often represents a profound change in your previous lifestyle. It is necessary to adapt to many changes and accept new challenges. However, with professional support and the necessary patience, it is possible to successfully overcome these hurdles.

On the road back to your usual independence, you generally go through the following phases:

Hospital Stay and Wound Healing

You are not discharged from the hospital immediately after the procedure. Under medical supervision, the initial focus is on wound healing and early mobilization. For the time being, aids such as crutches or a wheelchair are used for locomotion.

As soon as healing permits, a “post-op liner” is often fitted to the residual limb. This serves to compress and shape the limb and also helps reduce swelling caused by the surgery.

© Ottobock

Interim Prosthesis (Initial Fitting)

Towards the end of the hospital stay or shortly after discharge, care begins with a first interim prosthesis. During this phase, both the residual limb and the affected person’s activity level change.

Therefore, a provisional, adjustable socket made of moldable material is chosen. This allows for a more flexible reaction to changes. During this time, requirements and preferences for the later, long-term definitive prosthesis can already be identified. The duration of the interim fitting varies individually, often lasting about six months.

© Ottobock

Rehabilitation

Rehabilitation (rehab) usually begins shortly after the amputation and includes measures such as physiotherapy and lymphatic drainage. In rehab, amputees learn how to handle their new situation and the interim prosthesis, if already available. Diverse therapy offers help to become mobile again and fit for everyday life and work.

Definitive Fitting (Long-Term Prosthesis)

Once the general condition has stabilized, the fabrication of a permanently usable prosthesis is planned. Various components are tried on, combined, tested, and selected until the fitting, individually assembled for the person, matches their current status.

Later, check-up and maintenance appointments are necessary, as prostheses are also subject to wear and tear. At these appointments, we ensure that the prosthesis remains functional. As mentioned earlier, the residual limb changes over time. Therefore, we additionally perform a visual inspection to detect these changes early and react to them in good time.

Do You Have Questions?

We are happy to provide a personal consultation!

Do you have any unanswered questions, or would you like an assessment of your current fitting situation? No matter whether you are about to receive your first prosthesis or already have many years of experience as a user—we take the time to discuss your concerns in detail.

You are welcome to schedule an appointment for a personal consultation at our facility, or contact us in advance by phone. Together, we will clarify what concrete possibilities modern orthopedic technology offers for your individual needs.

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