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
TOTAL KNEE 1900
TOTAL KNEE 2000
TOTAL KNEE 2100
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
- 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.