Cover image about the installation of prosthetics

The latest technology for prosthetics in Turkey

The installation of prosthetic limbs is a new opportunity in life when a limb is lost in the body. If you need prosthetic limbs, it will be provided to you by Bimaristan Medical Center in Turkey.

Prosthetics installation in Turkey

The loss of a limb in patients leads to diseases that are mostly psychological, such as depression, so they need great support, and the installation of a prosthetic limb for them will provide patients with a better life in terms of independence when they perform their daily tasks, in addition to ridding them of depression due to their loss of limbs.

There are many types of prosthetic limbs in Turkey, each of which serves the patient's need and seeks to achieve his desire to have a better quality of life. These types depend on the location of the amputation in the affected patient and the purpose he seeks from the prosthetic limb.

Depending on the patient’s amputation location, the number of joints in the prosthetic limbs (ankle, knee, wrist, elbow) varies. The prosthetic limbs used for cutting above the knee level, for example, differ from those used for cutting below the knee level.

There are prosthetic limbs of all kinds in Bimaristan Medical Centerin Turkey where they provide a specialized team that provides all forms of health support for amputees who have lost a limb, starting from the surgical procedure, providing prosthetic limbs with the latest technology, and ending with care after the prosthetics.

Components of prosthetics in Turkey

The prosthetic limbs in Turkey consist of several parts that make them somewhat resemble the natural limb and mimic its movements. Despite their different types, shapes and functions, they often share the following parts when designed:

  • The cavity (the stump housing, which is the rest of the amputated limb): It is the upper part of the prosthesis where it surrounds the stump and is attached to it, and it is the most important part of the prosthetic limbs, and it is sometimes covered on the surface with a layer of silicone.
  • the interface: A material or cushion that is placed between the stump and the socket to reduce friction, relieve pressure, and maintain the integrity of the stump.
  • Suspension device: Its task is to install and keep the prosthetic limbs attached to the stump, and it differs from a prosthetic to another. Some of them adopt a pump that expels the air and forms a vacuum, so the limb is fixed, and some of them are fixed by a one-sided valve also expels the air, some are fixed by belts.
  • The joint: It is instead of the amputated joint and may sometimes contain a hydraulic device or a small processor (smart chip) that allows movement similar to the real joint, allowing the person to move like natural, such as walking or holding things with the fist. There are prosthetic limbs that contain several joints.
  • The body of the prosthesis: simulates a leg or forearm.
  • The end limb: the artificial hand or foot, differs according to the limbs that are used. There are limbs in which the hand is a fixed piece (which is the cheapest) and there are prosthetic limbs that contain a hand similar to the natural human hand in terms of movement, which were manufactured based on medical and engineering studies.

In addition, there are prosthetic limbs covered with fabric and artificial leather of the color of the amputee’s skin so that it looks almost real for cosmetic purposes, while there are patients, such as athletes, who prefer to install exposed prosthetics because they are lighter in weight and faster maintenance in the tournaments in which they participate.

Amputee athletes can now install prosthetic limbs that are suitable for their sports such as jogging, swimming, and others. There are many types of prosthetic limbs that meet different needs at Bimaristan Medical Center in Turkey.

A picture showing the parts of the prosthetics used when installing the prosthetics
Parts of prosthetics used when installing prosthetics

Types of prosthetics in Turkey

As mentioned above, the types of prosthetic limbs in Turkey differ according to the place of amputation and the patient's need, and accordingly they are classified into:

Upper limb prosthetics in Turkey

The human hand is very complex and contains many joints, but despite that, there are many artificial alternatives to the limbs that have been developed in our modern age, and they are all found in Turkey, including:

  • Passive prosthetics: They are just fixed alternatives to the limbs that do not move, and they are the cheapest
  • Body motion prosthetics: The installation of this type requires the integrity of the shoulder joint or the opposite limb and allows the patient a lot of movement and is the most popular because it is cheaper than others and less maintenance is required.
  • External powered prosthetics: That is, it does not depend on the movement of the body, and electrodes are connected from it to the healthy muscles, enabling the patient to move similar to natural and provide a better grip strength than those that work with the movement of the body, i.e. the installation of prosthetic limbs in this type does not require the safety of the shoulder or the opposite limb.
  • Hybrid prosthetics: This type is installed at a higher amputation level in the upper limb, which includes upper limb prostheses powered by body movement with external powered prostheses.
  • Prosthetics for athletes and craftsmen: It is used in patients whose occupations depend on the hands, such as carpenters or golfers.
    Picture showing an upper prosthesis used when installing upper prosthetics
    An upper prosthesis is used when installing upper prosthetics

Lower limb prostheses in Turkey

There are also several types of lower prosthetics that are installed in Istanbul to serve the patient's desire and help him to walk normally, including:

  • Ankle and foot system prosthetics: Hydraulic devices and small electronic processors are used to ensure timely movement and give the patient the ability to walk. The movements are commensurate with the change in the speed of the patient’s movement. The patient can also change the angle of the height of the foot to be able to wear the shoes he wants (whether it is with high heels or without heels).
  • Knee prosthetics: It provides more stability when standing, ease of movement while walking, and protects the patient from falling, and there is a multi-axis system that provides many movements that mimic the natural knee joint.
  • Prosthetics for athletes: It needs to be used by runners or swimmers, for example.
    Picture showing a lower prosthesis used when installing lower prosthetics
    Lower prosthesis used when installing lower prosthetics

Important tips after installing prosthetics

In order to fully benefit from your prosthetic limb, get used to it and recover quickly from the amputation process, and avoid all risks and complications, you must apply the following tips daily after installing the prosthesis:

  • Remove the prosthetic limbs when going to sleep and examine them for any damage or looseness in their pieces. Also, the stump must be examined and the presence of any inflammation should be investigated.
  • Clean the stump, apply the preparations prescribed by the doctors, and massage the skin.
  • Bandage the stump when you are not wearing your prosthesis, and check it frequently for ulcers or wounds, and contact a specialist immediately if you find something.
  • Do the daily exercises prescribed by your physical doctor to rehabilitate your limb and regain as much movement as possible.
  • You should clean the socket of your prosthesis with soap and water.
  • Clean, dry stockings should be worn when performing the prosthetics.

Causes of amputation

The reasons for which a limb is amputated vary according to the cause, and amputation is divided into two types; Planned amputation and emergency amputation (not planned), and the decision to take amputation as a curative solution is difficult for the surgeon, despite that, when performing it, he seeks to preserve as much healthy tissue as possible without excision.

The patient is subjected to amputation because of one of the pathological conditions that led to permanent damage to the limb and made his survival a threat to the life of the owner because the tissues in these damaged limbs die and toxins are released from them to the body. Among these reasons are people with:

  • Vascular diseases: such as diabetes And peripheral arterial disease, because they lead to a lack of blood supply to the extremities, so tissues die and necrosis, and thus reach the stage of amputation.
  • Cancer often occurs in patients over the age of 60
  • birth defects
  • Accidents: such as car and motorcycle accidents, and here amputation may be emergency upon arrival at the hospital.
  • Sepsis, gangrene of the limb and its death.

Surgical amputation in Turkey

When deciding to perform the amputation, if it is planned, the patient is taken care of and rehabilitated for the next stage before the surgery (awareness of the dangers of the survival of the limb and reassurance of the existence of alternatives from the prosthetic limbs that serve his need), the patient is also prepared pharmacologically in a well-equipped hospital where the sugar, pressure and other organs of the body are controlled until The patient is ready for the amputation.

The surgeon seeks to remove only the damaged tissues and preserves the healthy tissues. Then, he collects the muscles at the end of the amputated patient’s limb and makes sure that it has a good blood supply, and then closes the surgical site with the skin.

As a result, a hemispherical shape is formed at the end of the amputated organs called the stump (the remaining part of the limb after cutting off part of it), and the doctor and patient's job (by following the instructions) is to maintain its integrity and prevent it from injury or disease.

During the postoperative period, swelling and fluid filling of the stump occur as well as pain. The postoperative treatment period continues until the stump is slightly stable for 6 to 10 weeks.

The patient may have the phenomenon of ghost limb, which is the feeling of pain in the place of the amputated limb despite its absence. This phenomenon varies from person to person, and the cause may be psychological or organic. There are some types of ghost limb pain phenomenon that heal if the patient looks in the mirror and deludes himself that his limb It is still there and the pain is gone.

After this period, the stump settles a little and the patient is ready to be fitted with temporary prosthetics, and it is temporary because the stump has not taken its final shape yet. It is not possible to install permanent prosthetics here because it will not be fixed (due to the change in the size of the stump, sometimes it bulges and sometimes shrinks).

The stump settles and takes its final shape within a period ranging from 6 to 18 months, at which time the permanent prosthesis can be installed and fixed well.

If you want to install prosthetic limbs Contact us We are Bimarcitan Medical Center in Turkey.


Sources:

  1. WebMED
  2. MERCK MANUAL
  3. Johns Hopkins

Common Questions

The recovery period from the amputation process takes from 6 to 10 weeks, after which temporary prosthetic organs are installed until the stump settles and takes its final shape, which takes 6 to 18 months.

The prosthetic limbs are installed by applying a special material or a different-shaped cushion to the stump, then placed in the cavity of the prosthesis, then the fixation device is operated by vacuuming the air if it is an air vacuum or a one-way valve for air, and there are also some special prosthetics that are suspended using belts and ties .

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