Physicians

What do I need to write on my prescription?
Most insurances require a simple starting order for us to see your patient. Once they are seen we will provide a detailed order for your signature. Additional documentation is usually required that describes the patient’s condition and need for the device. We will inform you of any specific information that is required.

What are the safety concerns post-operatively for amputees before they get their prosthesis?
Incidental trauma from falls, bangs or bumps are common. We are local orthotists who like to provide a protective non-weight bearing dressing, the PSRD.

How soon can my patient wear a prosthesis?
Typically new amputees should be provided a prosthesis as soon as possible. There can be multiple factors that determine when a prosthesis can be safely tolerated. The suture line should be dry and tolerate partial weight bearing. Transfemoral amputees should tolerate weight bearing on the contralateral side since it is difficult for the transfemoral prosthesis to sit-to-stand. Patients with delayed healing can be appropriate depending on the wound size and location.


Therapists

How can I get information on my patient’s prosthesis?
The best way to learn about the specifics of your patient’s prosthesis is to contact the prosthetist who made it. It’s essential for the therapist to understand proper donning and how that particular knee and foot function in order to properly gait train (put in a picture of  a therapist walking a patient, say step over step down stairs). Are there observational opportunities?


Nurses

What types of wound dressings can be used when wearing a prosthesis?
Dressing thickness should be minimal to avoid creating pressure in the socket. Barrier dressing such as Tegaderm can be used as well as thin hydrocolloids, oil emulsions or Xeroform or thin foam dressings like Mepilex can be used without causing excessive pressure.