Orthopaedic appliance and rehabilitation guidance centre · Consultation & fitment of orthotics, prosthetics and mobility aids · Kalyan West since 2006

Artificial limbs

The limb is the easy part. The socket is the work.

Every component in a prosthesis is manufactured and can be ordered. The socket is the one piece made for one person, and it is the reason a limb gets worn every day or ends up in a cupboard.

Levels fitted here

Below knee (transtibial)

The commonest, and the one with the best outcome — the knee is still yours, so balance and control are largely intact. The whole job is the socket: how it takes load, where it does not, and how it stays on.

Above knee (transfemoral)

Harder work, because the knee has to be replaced as well as the leg. Which knee mechanism suits you depends on how much you walk, over what ground, and how strong the hip is — that is a decision made together, not off a catalogue.

Partial foot and Syme

Amputations through the foot or at the ankle need a filler, a shoe that works with it, and often a small brace. Easy to fit badly and easy to overlook.

Upper limb

Below-elbow and above-elbow. A working hook or hand for gripping, a cosmetic hand for appearance, or both — many people use one for work and one for the evening.

Cosmetic prostheses

Where the aim is appearance rather than function: a finger, a hand, a foot cover matched as closely as we can to skin tone.

Repairs and refits

A limb from anywhere, ours or not. Sockets stop fitting — a stump shrinks for a year or more after amputation, and after that weight changes it again.

What a leg is actually made of

Worth knowing before the conversation about cost, because the components are where the range comes from.

  • ✓The socket — the only custom part, and the part that decides whether the limb is worn
  • ✓Liner or soft insert, where one suits the stump
  • ✓Suspension — how the limb stays on: sleeve, suction, pin-lock or belt
  • ✓Knee unit, for above-knee levels
  • ✓Shank and foot, matched to weight and activity
  • ✓Cosmetic cover, when it is wanted

A basic foot and a dynamic-response foot do the same job for somebody who walks to the market and back. They do not do the same job for somebody who is on their feet at work all day. Neither is “better”; the question is which one matches the life the limb has to keep up with, and paying for a component you will not use is money that would have been better spent on the socket.

Expect to come back — that is the process, not a fault.

A stump changes shape for a year or more after amputation. It shrinks as the swelling goes and the muscle settles, which means the socket that fitted perfectly in month two is loose in month six. That is normal, it is expected, and it is why sockets are replaced rather than repaired.

Between refits, socks of different thickness take up the slack. You will be shown how to judge it. A red mark that fades within twenty minutes of taking the limb off is fine; one that is still there after an hour, or any broken skin, means stop wearing it and come in.

Information, not advice. This site describes the work of an orthotics and prosthetics practice and is published for information. It is not medical advice, not a diagnosis, and not a substitute for seeing your doctor or surgeon. Whether a particular limb, brace or appliance is right for you depends on your own examination and on your treating doctor’s opinion.

Before you can be fitted

The wound has to be healed and the swelling settled, which is your surgeon’s call — usually somewhere between six weeks and three months. Come and be seen before then anyway. What happens in those weeks, the bandaging and the exercises, largely decides the shape of the stump you will be fitted on. What to expect after an amputation →

An artificial limb or a brace does not cure a condition and does not restore a body to what it was. What it can restore is function — standing, walking, getting to work, managing stairs, using a hand. How much comes back depends on the person, the level of the amputation or the weakness, general health, and how much walking practice is put in after the fitting. That is a conversation to have honestly at the first visit rather than a promise to make on a website.

Bring the operation notes

For a first limb, the surgeon's notes and the level of amputation are what the assessment starts from. For a refit, bring the limb you have — including one that hurts.

5, Jasraj Society, Vallipir Road, Kalyan (West), Thane — 421301 · Closed Saturday · Closed 2–6 p.m. on weekdays