Prosthetics

1 

Initial Evaluation and Shrinker Fitting

The first step is to meet with our patient and discuss the prosthetic process going forward. We examine the patient's residual limb and discuss healing of the amputation and timeline. Every patient is unique which means every patient's healing progress and prosthetic timeline is unique. During this visit we like to address any questions or concerns patients have about the prosthetic process and what to expect from their individual prosthesis. We discuss all facets of the device and we make sure to discuss the componentry that the patient will be receiving and how it will help them. During this visit we will also measure for a shrinker sock to be worn after stitches/staples have been removed from the amputation. The shrinker helps to aid in circulation and reduce swelling. This is an important step to shape the residual limb in preparation for casting.

2

Casting/Scanning

Once the residual limb stops swelling and maintains a consistent size, and the suture line has healed sufficiently, a check socket can be created using either a traditional cast or a digital scan of the residual limb. In the casting process, the residual limb is wrapped in a fiberglass cast, which is then carefully shaped by hand to apply the appropriate amount of pressure to key areas. Once the cast hardens, it is removed and used to create a plaster mold. Alternatively, a digital scan of the residual limb can be taken using advanced imaging technology, capturing precise measurements without the need for physical casting. In both methods, measurements are taken to ensure an exact, total-contact fit of the socket. The check socket is then created using either a vacuum-formed clear plastic over the mold or a 3D printing process based on the scanned model. 

3

Check Socket Fitting

The check socket is a temporary, transparent test socket used to assess the fit, comfort, and alignment of a prosthetic limb before fabricating the final socket. Our check sockets are designed to provide functional suspension and allow for the attachment of a prosthetic foot, enabling amputees to test the fit, comfort, and alignment while standing and walking between the parallel bars. This process ensures a more accurate assessment of the socket’s performance, allowing for real-time adjustments before the final prosthetic is fabricated. If the fit is appropriate or the necessary modifications have been made to deem it appropriate, we will be ready to fabricate the definitive prosthesis.

4

Prosthetic Fitting

During this visit the patient will receive their final prosthesis. If the prosthesis is a leg, the patient will stand, weight bear, and walk on the prosthesis in the parallel bars. We will be making fine tune adjustments to ensure ideal alignment, comfort, and function. For upper limb patients, the device will be fit and we will run through a series of tests to ensure the patient is able to operate the terminal device (hand). Physical therapy is always encouraged to help the prosthetic user regain the function and independence they had prior to the amputation.