Below-Knee Leg
Trans-tibial prosthetics, the most commonly fitted limb. Because the knee is preserved, walking quality after training is usually very close to normal.
Designed, fitted and refitted — then followed by the weeks of gait training that turn a fitted limb into confident, independent walking.
Every limb is built around your residual limb, your weight and the ground you actually walk on — then trained until it feels like yours.
Trans-tibial prosthetics, the most commonly fitted limb. Because the knee is preserved, walking quality after training is usually very close to normal.
Trans-femoral prosthetics with a mechanical or hydraulic knee unit. Component choice is matched to your activity level, because a knee that is too advanced is as unhelpful as one too basic.
Prosthetics for through-knee and hip-level amputation. Complex sockets requiring careful weight distribution and considerably longer gait training.
Artificial hands and arms — body-powered hooks, passive cosmetic hands and myoelectric options. Training focuses on the specific daily tasks you name.
Individually sculpted and colour-matched silicone fingers, partial hands and toes. Restores appearance and, for fingers, useful opposition and grip.
The part that decides whether a limb is worn or abandoned. Test sockets, replacement sockets as the limb changes shape, silicone liners and suspension systems.
SACH, single-axis, multi-axial and energy-storing feet, plus knee units, pylons, adapters and suspension hardware — matched to your weight, activity level and the ground you actually walk on.
Most people assume the difficult stage of an amputation is getting the prosthesis made. In practice, fabrication is the predictable bit. What decides whether someone walks independently a year later is the socket fit and the gait training — and those are the two things most often rushed.
We fit the limb, then keep visiting. Gait training runs for weeks with a physiotherapist from our own team, in your home and on the surfaces you actually walk on.
A prosthetic limb that sits in a cupboard is a very expensive object. The gait training is what turns it into walking.
Usually once the wound has healed and swelling has settled — commonly around six to twelve weeks after surgery, though it varies. Before that we can still help: early compression, positioning to prevent contractures, and strengthening the rest of the body so you are ready when the limb arrives.
Starting that preparation early makes a measurable difference to how quickly the first socket fits well.
A prosthetist evaluates the residual limb at home, measures it and takes the cast.
A trial socket is fitted and refined until pressure sits where the limb can tolerate it.
Components chosen for your weight, activity level and the ground you walk on daily.
Weeks of supervised walking practice with our physiotherapists, in your own home.
Components typically last three to five years with normal use. The socket usually needs replacing sooner, because the residual limb changes shape considerably in the first year and gradually after that.
Most below-knee patients walk very close to normally after training. Above-knee is harder work and usually leaves a visible difference in gait, though independent walking is a realistic goal for the large majority. We will give you an honest answer for your specific case at the assessment rather than a brochure promise.
Usually six to twelve weeks, once the wound has healed and swelling has settled. Preparation work — compression, positioning, strengthening — should start well before that, and we can begin it while you wait.
Yes, and it is the step most often skipped. Without it people develop compensations — hip hiking, vaulting, uneven step length — that become permanent habits and cause back and knee pain on the sound side years later.
Yes. Children need more frequent socket replacement as they grow, so we plan and price that from the start rather than presenting it as an unexpected cost each year.
A prosthetist will assess the residual limb at home and tell you honestly what is realistic, what it involves and when to start.