Below Knee

Below Knee (Trans-Tibial)

Definitive Prosthesis

Once a patient’s limb has stabilized, they are now ready to be fit with their definitive or permanent prosthesis. The options that are available for the definitive prosthesis cover every aspect of construction and use by the patient. Socket designs may vary from PTB, PTS, or total surface bearing.

Type of suspension can range from a cuff, a cuff with a waist belt, knee sleeve suspension (neoprene or gel), suction, or a liner with a locking pin. There are shock pylons with or without rotation that are available, and a whole array of prosthetic feet; from the basic sach foot, to dynamic response feet, to energy storing feet that maybe used in conjuction with or without an ankle .

All of these variations are not suitable for every patient, to see what prosthesis is best for you contact your physician or one of our trained practioners for a consultation to design a prosthesis that fits your exact needs.


Temporary Prosthesis

As soon as a patient has sufficently healed, the first prosthesis fitted, is a preparatory or temporary prosthesis. The temporary prosthesis is fabricated in a simple yet fully functional design. The below knee Temp prosthesis consist of a cushion insert, laminated socket, pylon, and a sach or dynamic response foot.

Photo A shows a typical B/K temporary set-up. Suspension for the B/K temporary may vary from a cuff, cuff with a waist belt, or a knee sleeve. The temporary prosthesis has two primary functions. The first is to allow the patient to begin ambulating (walking) again.

The second is to help control edma (swelling) and to start the maturing process of the residual limb. Once a patient has been successfully fit. The prosthesis is then finished by one of the thoroughly-trained Prosthetic Solutions staff. Photo B shows the completed B/K temporary prosthesis, which is now ready for delivery.

Included with the prosthesis are various size prosthetic socks. One ply, three ply, and five ply socks are supplied to the patient so they may adjust their fit as their limb starts to mature.

After receiving the temporary prosthesis patients should continue to wrap or wear their shrinker sock when not wearing their prosthesis. This will prevent swelling and allow the patient easier donning of the prosthesis.