Lower Limbs

What happens after the amputation?

After the amputation one of our qualified Prosthetists will be contacted by your attending surgeon and you will be fitted with a post-op liner. The purpose of the liner is to prevent post-operation swelling and speed up the healing process by increasing blood flow in the residual limb. You will be wearing this post-operation liner for about 6-8 weeks while we start the process of submitting a quotation to your medical aid for your artificial limb. This period will also be used to refer you to the physiotherapist for strengthening exercises and for learning how to mobilise with crutches. After the 6-8 week period you would normally be ready for your permanent prosthesis to be fit. A diagnostic socket made from see-through thermoplastic material will be manufactured; this is done so that we will be able to assess the fit and effectiveness of the planned prosthesis. You would normally be sent to the physiotherapist for gait training and more muscle strengthening exercises.

The diagnostic socket is fitted and the patient is able to mobilise and learn how to walk in preparation for the artificial leg. At this stage it will be possible to fit you with a few different componentry knees and feet so that you can make an informed decision as to the final selection for the permanent prosthesis.

As soon as we are happy with the fit of the socket (the part that the residual limb goes into) we can start to manufacture the definitive prosthesis Meintjes and Neethling makes use of a whole range of knees, feet and adaptors that allow us to make and fit prostheses according to our patients’ requirements. Hendrik Meintjes is one of a few prosthetist certified by Ossur International to fit Rheo bionic knees. The Rheo knee makes use of a battery operated microprocessor that adapts the way that the knee functions.

You are welcome to contact us directly if you feel that you would like a second opinion in the case where the surgeon recommends a different Prosthetist in Pretoria, Rustenburg or Mafikeng or you feel that you are uncomfortable with the Prosthetist that was contacted on your behalf. Remember, it always stays the prerogative of the patient in terms of his/her preference. Please find our contact details under the contact tab.

ABOVE THE KNEE

When amputation occurs through the femur, it is known as a transfemoral or above-the-knee (AK) amputation. For amputees for whom prosthetics are not an option we can provide a different form of aid. Meintjes and Neethling is also considered a quality wheelchair supplier. Our orthotic professional will make sure the seat is secure, functional and comfortable.

Meintjes and Neethling strives to manufacture lower leg prosthetics that are comfortable, easy to use and lightweight. Meintjes and Neethling is at the forefront of technology and attends numerous international as well as local courses. Prostheses come in many different types and the choice is influenced by the shape and length of the stump as well as the patient’s prognosis, level of activity and personal preferences.

THE UNITY VACUUM SYSTEM

TYPES OF KNEES

TYPES OF KNEES
The Unity System gives the security and freedom of a vacuum system without the restrictions of a sleeve, thus resulting in unrestricted range of motion. This lower leg prosthesis works on the principle of a distal vacuum, which helps to effectively address volume fluctuations, thus maintaining more effective suspension. The Unity System is compatible with the Flex-Foot range in artificial limbs.

RHEO 3

TYPES OF KNEES RHEO 3
The RHEO KNEE 3 takes away the need for a conscious thought process, allows for more natural movement and is less taxing on energy than other lower leg prostheses. With improved extension assist, smart gait, magnetorheologic technology for instant response and extension lock for security and comfort, the RHEO KNEE 3 artificial leg will allow the patient to experience a high level of safety and support.

MAUCH KNEE

TYPES OF KNEES MAUCH KNEE
The Mauch Knee’s hydraulic system provides amputees with a less strenuous and more controlled means of ambulation on varied terrains and for sports activities. The system offers a smooth natural gait and a high level of flexibility for more active lifestyles. This artificial limb is designed to support activity, not hinder it.

TOTAL KNEE 1900

TYPES OF KNEES TOTAL KNEE
The Total knee 1900 artificial leg accommodates everyday walking requirements. Swing phase is controlled and steady, and combined with the extension promoter which assists in limiting heel rise and moving the knee into a fully extended position, a natural knee motion is achieved. This capability is impressive as far as artificial limbs go by mimicking a natural knee movement which is difficult to reconstitute with technology.

TOTAL KNEE 2000

TYPES OF KNEES TOTAL KNEE 2000
The Total knee 2000 is a strong and durable knee for artificial legs, with superior shock absorption, increased comfort and a more natural gait. Mid-swing shortening prevents hip-hike and swing control accommodates changes in walking speed while adjustable stance flexion reduces shock and stress on the residual limb which many other above knee prostheses don’t cater for.

TOTAL KNEE 2100

TYPES OF KNEES TOTAL KNEE 2100
The Total knee 2100 is designed to withstand the rigours of more active amputees. It offers the ultimate in stability, control, efficiency and durability. Boasting as an exceedingly stable above knee prosthesis, the Total knee 2100 is the leading steady artificial knee for those who wish to engage in increased activity in their day to day lives.

BALANCE KNEE

TYPES OF KNEES BALANCE KNEE
The Balance knee offers the less active user a high level of security and stability from their artificial leg. The balance between stability and walking dynamics can be easily adjusted to each individual’s needs. This above knee prosthesis facilitates an easy kneeling action and prevents hip-hike through mid-swing shortening.

3R80

TYPES OF KNEES 3R80
Both stance and swing phases are controlled by the rotation hydraulics of the 3R80 knee, resulting in a close approximation of a physiological gait pattern, even at various speeds. Comprehensive adjustment possibilities enable the 3R80 knee to be adjusted to each individual user’s specific needs from their upper leg prosthesis.

KNEE DISARTICULATION

When an amputation occurs through the knee, it is known as knee disarticulation. The amputation is done between two bones and avoids cutting through either of the long (femur or Tibia) bones. Because the remaining limb can bear some end weight, like that of an artificial limb, the knee articulation involves a long mechanical lever that the strong upper leg muscles can control. The patient keeps his/her complete femur, and because the thigh muscles are released at the distal end, they tend to be stronger and make fitting a lower leg prosthesis less cumbersome. The knee-disarticulation type of prosthesis differs greatly from the above knee prosthesis as it does not have to move the weight bearing to the ischaem but rather to the bottom of the residual limb.

BELOW THE KNEE

Several below knee prosthesis designs are available today. The patient’s diagnosis, prognosis and activity level, as well as the remaining limb’s length and shape will determine the style of the lower leg prosthesis to be fitted.

The socket design will be one of the following major designs:

  • Silicone liner with a locking pin
  • Suction
  • Elevated vacuum

 When it comes to artificial limbs Meintjes and Neethling also handles ankle disarticulation or symes amputation and partial foot amputation.

Meintjes and Neethling also handles ankle disarticulation or symes amputation and partial foot amputation.