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Below-knee (BK) limb loss (also called transtibial amputation) refers to amputation or absence of the leg below the knee. When undergoing this level of amputation, it’s important to know your options and to remember that it is possible to return to an independent lifestyle.
As you begin your amputation journey, you will work with a prosthetist who is trained in the design, fabrication, and fitting of artificial limbs (prostheses) below-the-knee. It is important to talk to your prosthetist about your goals, expectations, and concerns, so he or she can address your specific needs. If possible, you should try to meet with him or her prior to surgery, so you can be prepared for the road ahead. Your prosthetist will work closely with your physician and rehabilitation team to monitor your health and help ensure you are meeting your expected milestones.
Here is an overview of what to expect during your below-knee limb loss care journey.
Your doctor may prescribe a shrinker to help shape your residual limb and/or an AmpuShield® to protect your leg from injury and aid in the recovery process.
Your prosthetist will get to know you and ask about your daily activities. He or she will listen to your goals and then apply their clinical expertise to design the right prosthesis, customized to your specific needs.
When your residual limb is sufficiently healed, you will be measured and fit with a prosthesis. The prosthesis you take home will be custom-made using materials tailored to your needs. Your prosthetist will teach you how to put on and care for your prosthesis and supplies.
Your physician, prosthetist and/or physical therapist will help you learn how to use your prosthesis in your daily activities. Once you are comfortable with basic skills, you may be able to resume more advanced physical activities such as walking up and down stairs, driving, and participating in sports or other hobbies.
As your limb changes, your prosthetist will continue to make adjustments to your prosthesis, including periodic replacements when necessary. It is important to follow up with your prosthetist at least every six months to address any issues, especially as your residual limb is changing in size.