Advancements in Lower-Extremity Prosthetics
The most dramatic changes in lower-extremity prosthetics is with regard to the components that are available for children. For years, there were few options to choose from for the child.
SACH feet and friction knees were standard components used. Increased awareness on the part of the parents of children with limb deficiencies and amputations, along with pressure from the rehabilitation community, has influenced the manufacturers to recognize the need for improvements in this small, yet lucrative market. Children test the limits of many components by competing in recreational activities that range from neighborhood skateboarding to extremely competitive sports against their “able-bodied” peers. Children have benefited from the influx of smaller components that provide responsiveness and control to variable cadences while also providing compensations for variable terrain.Professionals who are involved with the population of children with loss of limb quickly appreciate the possibilities that exist for an individual to compensate and to accomplish as much as anyone. Improved materials, technology, and greater availability of resources contribute to versatile prosthetic options. Involvement of a child and family with a comprehensive amputee clinic team provides therapeutic choices throughout the child's life. Close collaboration of physicians, family, and all professionals is essential for a cohesive and practical rehabilitation program. As in all pediatric conditions, the process of decision making, treatment options, and delivery of care is variable and should be discussed with the child and family. The moving target is always the growing, developing child, while our aim should be a healthy, happy, well-functioning child, adolescent, and ultimately adult.