A referral is not necessary, however, a doctor’s prescription is required for us to provide a prosthetic device.
There are 3 possibilities:
- On site. Optimal ability for the practitioner to interact with the technician throughout the process.
- Internal C-Fabrication. Some interaction between practitioner and technician. May be modified by the practitioner, may not ask. Who is modifying model.
- External C-Fabrication. Likely providing the information model measurements to the technician. They have limited contact with practitioner, limited knowledge of the patient. Your model may be modified by the technician instead of your practitioner.
Hand casting is a wrapped impression of your limb and volume. It usually results with a superior fit of the residual limb. Highly customized to each individual. One off! CAD CAM/measurements can be done with measurements or digital scan, and utilizes a pre-determined template socket/shape that can work for the average of the patients. This does not give the clinician as much ability to modify the model or template as you would with an actual “positive” model. They can be effective but often are not detailed to the level of hand cast impressions. If measured only, not likely to result in a superior fit. The practitioner depends on the model template to create a generic model. Be cautious of measurements only to make a socket. Digital scans can be more effective than measurements, but also require a template of the average shape, and cannot accommodate uniqueness of individual amputation.
Your overall comfort, control, confidence and ability to reach your goals are being met.
Your family is also dealing with your limb loss. They want what is best for you. Your family will have similar feeling to what your are feeling (sadness, frustration, fear of not knowing what life will be like with a prosthesis). Our goal here at POSI is to try to help you regain your independence and eventually return to your pre-amputation activities. You may do this a little differently, but with the right fitting prosthesis and proper training we will do our best to help you achieve the best outcomes.
There are several ways you can get in contact with another amputee. You can reach out to the Amputee Coalition to have them contact a mentor for you. The Amputee Coalition is a wonderful resource to gain early knowledge on how the process works obtaining your prosthesis and getting you back to your pre-amputation status. Your mentor can help you to see what life is like with an amputation. Your mentor can give you valuable advice on how to navigate what steps are next in your journey toward independence.
Local Amputee support groups are another valuable resource that can help with the emotional support you will need during your rehabilitation. At these groups, you and your family members will get to meet and ask questions to fellow amputees about your prosthesis, your therapy and how to achieve your rehabilitative goals.
Amputee Coalition http://www.amputee-coalition.org/support-groups-peer-support/certified-peer-visitor-program/
Amps in Action @ Kessler Rehabilitation Hospital https://www.facebook.com/AMPS-IN-ACTION-MARLTON-NJ-102362346466836/
Voorhees Amputee and Stroke Organization https://www.facebook.com/Voorhees-Amputee-Stroke-Organization-1154893671206642
Magee Rehabilitation Amputee Support Group http://mageerehab.org/community/support-groups/amputee-support/
Montgomery County Amputee Support Group http://www.amputee-coalition.org/calendar-event/montgomery-county-amputee-support-group-lower-gywnedd-township-building-springhouse-pa/2017-08-14/
- Pre-amputation lifestyle – the most important indicator of potential utilization after amputation
- Previous activities
- Objective testing – series of objective measurements that predict your potential mobility
- Amp Pro
- Timed Up and Go
- Participatory Interview – a review of the prosthetic options that are available for your individual management
- Education of systems
- Pros/cons of each component
Below knee designs can range from 2 ½ lbs. up to 5 lbs. depending on componentry utilized. Above knee designs weigh between 5 lbs. and 9 lbs., also depending on componentry utilized.
Socket and componetry are expected to last 3-5 years. Either can be replaced before this time due to damage or physical change of the residual limb. (See socket fit)
OUR TEAM CAN HELP!
Schedule your complimentary evaluation today.
POSI prosthetist and technicians are trained and certified by the following manufacturers for use of their products:
Ossur: Touch Bionics, I-Limb
Otto Bock: Bebionic, Michelangelo
100 Brick Road, Suite 315
Marlton, NJ 08053
440 Horsham Road, Suite 2
Horsham, PA 19044