Living with a leg amputation

Losing a leg, whether from diabetes, vascular disease, an accident or cancer, is life-changing. A well-fitted prosthesis, with the right rehabilitation, can help many people walk again, return to work and get back to what matters to them.

What to expect

1. Before or soon after surgery: we can meet you to explain the process and help manage swelling and shape the residual limb [with shrinkers: confirm].
2. Healing: your limb needs to heal and settle before a first prosthesis is fitted, usually [several weeks] after surgery. Your surgical team decides when.
3. Your first prosthesis: we cast or scan your residual limb, make a custom socket and fit the prosthesis, choosing a knee and foot to suit your activity level.
4. Learning to walk: physiotherapy and gait training are essential. We work closely with your rehab team [see Rehabilitation Referrals].
5. Changes over time: your limb changes shape, especially in the first year, so the socket needs adjusting and eventually replacing.

Below-knee vs above-knee

• Below-knee (transtibial): you keep your own knee, which makes walking easier and uses less energy.
• Above-knee (transfemoral): the prosthesis includes a knee joint. Options range from simple mechanical knees to hydraulic and microprocessor-controlled knees.

Funding

Prostheses are a significant cost. We help with medical aid pre-authorisation, PMB motivations, and Road Accident Fund and COIDA claims [see Funding & Claims Assistance].

When to contact your doctor or us

• Redness, blisters or broken skin on your residual limb
• Signs of infection: heat, swelling, discharge or fever
• Pain that is new or getting worse
• A socket that suddenly feels loose or tight.