In some cases an initial prosthesis may be fit about 10 days after a lower limb amputation with such an immediate fitting some weight can be applied to the residual limb early on and the first walking exercises can be started however this type of prosthesis is not suited to all amputations. 18 million people in the united states are living with amputations and between 30000 and 40000 amputations are performed in the united states on an annual basis below knee amputations are the most common amputation surgery and comprise approximately 23 of lower limb amputations. The immediate postoperative prosthetic device can serve as a socket and temporary prosthetic limb in both upper and lower extremity amputations there are tremendous physical and psychological rehabilitative advantages to applying a prosthesis immediately. Prosthetic restoration following lower extremity amputation has several goals the first and arguably the most important is to reestablish functional mobility and static positioning of the limb ambulation using a prosthesis requires increased energy expenditure as the amputation level moves proximally 8
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