The first visit will be with an ABC Certified Prosthetist. There, information is gathered to
determine the design and componentry of the prosthesis. The first step in fabrication of a
prosthesis is to make an impression of the residual limb. Here a certified prosthetist electronically
digitizes a patient's residual limb which is being displayed on the computer screen.
After the patient's residual limb has been digitized, the practitioner will modify the image to provide
appropriate weight bearing forces and reliefs for pressure sensitive areas. This will ensure every
effort toward producing a comfortable fitting socket.
Here, the patient and practitioner discuss the modifications made to the image in a three
dimensional image of the residual limb.
The second visit will be to help ensure the comfort and accuracy of the developing prosthesis.
After a negative mold of the residual limb has been made from the computer generated image, a test socket
is fabricated. The patient will don the test socket and inspection of the residual limb will be performed.
Here, the patient gives the practitioner comments on comfort. The clear test socket allows the practitioner
to visually inspect the residual limb and mark the areas where appropriate adjustments are needed to help
ensure comfort.
The third visit will be to establish proper positioning of the prosthesis. Here, the patient dons
the prosthesis with the recommended componentry. The practitioner will evaluate the patient as they walk
and make the appropriate adjustments to provide increased comfort and smooth ambulation. Here, the practitioner
is changing the position of the prosthetic foot underneath the socket. (This patient has chosen not to have
a cosmetic cover installed on his prosthesis.)
Once the patient and practitioner are pleased with the fit of the prosthesis, the prosthesis will be
prepared for delivery.
NOTE: After delivery, follow up visits will be scheduled to help ensure appropriate fit and patient satisfaction.
