Custom prosthetics are often the best choice because they are not nearly as painful as stock or donated units. Irritation of the skin is also reduced when the fit works well. There is solid evidence that patients who use customized pieces are more active, more fulfilled, and more productive.
The main idea of customization is to create a fit that is as close to perfect as possible. With the proper shaping and sizing, the motion and use of the limb are more natural. This makes it easier to manipulate or control the piece.
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The addition of robotics, especially in arm units, allows the patient to operate more functionally. Without a good fit the robotics are difficult to control and can often lead to accidents or embarrassing situations. A pincher grasp much be developed for the patient.
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The process can be lengthy and will often require numerous measurements. Some patients receive a prototype in the first stage in order to practice the use and note any difficulties. As the piece is used, any areas of chafing or discomfort can be shaved or trimmed down to provide better comfort.
Specialized pieces can be beneficial for those who wish to remain active and be as fully independent as possible. For instance, a leg piece that can lock and unlock can be used for participation in sports. Waterproofing can be done to allow for participation in water activities. If the unit does not fit well there is likely to be chafing. If pinching or abrading happens there is an increased risk of infection. These things must be checked periodically by a physician to ensure that the potential loss of feeling is not allowing an infection to take hold.
It is great news to learn that Custom Prosthetics are less expensive and more durable than ever. The cost reduction is thanks to a higher demand, lower cost but better quality materials, and improved manufacturing techniques. If there is not pain, irritation, or recurring infection from a poor fit then the full quality of life can be experienced.
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