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The question of when you get a prosthesis, whether you are first fitted with an interim (temporary) prosthesis and when that happens is always decided on a case-by-case basis. The healing and recovery process is different for everyone. It might take some patience, but it’s worth trusting the advice of your doctor and O&P professional here. But one thing is certain: The better your residual limb is prepared for wearing a prosthesis, the better you will subsequently be able to use your prosthesis.

As a guideline, your O&P professional will examine your residual limb shortly after the amputation and determine whether an interim (temporary) prosthesis is an option for you. After the wound has closed (which takes between two weeks and three months), measurements are generally taken on the residual limb and an interim prosthesis is fabricated at this point. You wear this interim prosthesis for three to six months. It allows you to get used to the prosthesis and helps the residual limb develop its final shape. The process of fitting you with your definitive prosthesis can begin when this has happened, the residual limb of your leg has healed sufficiently and you are once again in good physical condition.

Various factors determine which prosthesis is an option for you. Factors that influence the selection of a suitable leg prosthesis for you include your physical fitness and health, the amputation level, your requirements for the prosthesis and your personal and working environment. Your O&P professional will advise you on all these aspects and work with you to select the corresponding components for your prosthesis.

The components a prosthesis is made of depend on the amputation level. In principle, a prosthesis replaces your missing limb, for instance your foot, knee or hip joint, and is made of various corresponding prosthetic components. Your residual limb goes into a prosthetic socket that connects the prosthesis to your body. There are connecting elements between the individual prosthetic components. These are used, for example, to individually adapt the height of the prosthesis and in some cases also fulfil additional functions.

Your O&P professional will start by selecting the individual prosthesis components together with you, based on your needs. Once the proper fit of the socket has been achieved after several fittings, the socket and components are assembled. Your O&P professional bases the alignment of the prosthesis on the results of the exams and existing alignment guidelines. Additional fittings follow once the prosthesis is ready. The O&P professional checks the prosthetic alignment with the help of technical equipment such as the L.A.S.A.R. Posture and adapts the prosthesis even more precisely to your requirements. You can then take your first steps with your new prosthesis.

In some cases, an initial prosthesis can be fitted soon after the amputation. You wear this interim prosthesis, which is fabricated for you by your O&P professional, until you can be fitted with a final prosthesis (definitive prosthesis). An interim prosthesis can have a favourable influence on the therapy process. It allows you to put some weight on your residual limb early on and to begin with initial walking and standing exercises. However, an interim prosthesis is not suitable for every amputation. Ideally, your doctor, physiotherapist and O&P professional will decide together whether this is an option for you.

An interim prosthesis also serves to gradually adapt a prosthetic socket to fit you and to identify the suitable prosthetic components. Your O&P professional continually improves the fit of the prosthesis during this test and trial phase so that there shouldn’t be any problems with the fit of your final prosthesis (definitive prosthesis).

Following interim treatment, you receive a definitive prosthesis that is tailored exactly to your needs. Once volume fluctuations have abated so a definitive prosthetic socket can be fabricated, you are fitted with a definitive prosthesis.

You may need additional walking devices aside from the prosthesis. Various walking aids such as canes, forearm crutches and anterior walkers are available, depending on your physical fitness. Many amputees are also provided with a wheelchair. All of these devices are obtained at the hospital or from a medical supply company. Your O&P professional or contact person at the hospital can help you with this. They can also advise you regarding additional devices in your home environment.