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COVID-19 Requirements

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APC Prosthetics is strongly encouraging social distancing and good hand hygiene when visiting our clinics. Upon entering our clinics, we require all our clients and their carer to check-in through the QR code available, sanitise their hand and wear masks. The following COVID-19 requirements will be enforced at our clinics, to ensure the safety of our clients, staff and visitors.

  • All clients and their carer must check-in using the QR code.
  • A limit of 1 carer per client to minimise the number of people in our clinics.
  • Masks are to be worn upon entering any APC clinic and for the duration of the appointment.
  • Hand sanitise at entry, we have sanitisers readily available at reception.
  • Please contact us ahead of your appointment if you are experiencing any COVID symptoms or have visited any affected venues listed on the NSW Government website: https://www.nsw.gov.au/covid-19/latest-news-and-updates

We appreciate your cooperation in keeping our clinics safe for all.

NDIS Participants Guide To Your Planning Meeting

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Your planning meeting is where you discuss your functional goals and any funding requirements you require for the life of your next NDIS Plan.

Prior to meeting with your NDIS Local Area Co-ordinator (LAC), we recommend our participants contact our NDIS Administration Staff at APC Prosthetics to discuss your requirements, so they can assist in formulating the finer details for discussion with your Local Area Co-ordinator at your meeting.

 

Key points to discuss during your initial planning meeting

  1. Provision for Maintenance: this includes the cost of maintenance to your current limb. Please note an assessment, quotation and Assistive Technology Request is required by NDIS. This cost should be included under Capacity Building (CB) Daily Activity, please account 4-6 hours for the report and 8 hours for maintenance.
  2. Provision for Capital Supports/Assistive Technology: this will include the funding for your prostheses. Please note these items need to be quoted and approved through the Assistive Technology approval process.
  3. Provision for Core Supports: this includes ongoing low-cost consumables related to your prostheses, such as socks and sprays. Please note higher cost consumables need to be quoted and approved.

 

We recommend requesting for your NDIS Local Area Co-ordinator’s phone number and email address, so we can communicate with them directly if you require us to do so.

If you would like to have a chat about the NDIS and how we can help you prepare for your planning meeting, please contact your local APC NDIS Coordinator.

 

We’re Hiring an Experienced Clinical Prosthetist

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Position Available at APC Prosthetics

APC Prosthetics has been one of Australia’s most innovative prosthetics practices since its establishment in 1998. We service a diverse client load across our four state-of-the-art facilities in Sydney, Newcastle and the NSW Central Coast. APC Prosthetics have been pioneers in diverse areas such as osseointegration, TMR, sporting solutions and paediatric care throughout our 22-year history. Our current team of 20 clinicians have collective experience exceeding 250 years.

A unique mix of lifestyle and professional growth awaits the successful candidate. State-of-the-art working environments, together with industry-leading benefits and comprehensive immigration supports are offered. If you are truly passionate about prosthetics, wish to join a close-knit team dedicated to optimal client outcomes, and have a desire to build a successful long-term career in the prosthetic profession in Australia, APC Prosthetics would like to speak with you.

 

Key Responsibilities

  • Independently provide a complete prosthetic treatment tailored to meet client requirements and goals.
  • Utilise new and existing technologies to provide best practice evidence-based care.
  • Build and strengthen relationships with health practitioners in the region.
  • Coordinate and conduct clinics at off-site locations.
  • Contribute to a safe, clean and secure work environment for all staff.
  • Collaborate with and share knowledge with other staff members

 

Desired Attributes

  • Effective time management
  • Teamwork
  • Effective communication skills
  • Attention to detail
  • Problem solving skills
  • Technical manufacturing skills preferable but not essential

 

If you are interested in exploring the role, please contact Harvey Blackney at APC Prosthetics via hblackney@apcprosthetics.com.au.

APC Graduate Program 2021

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Are you interested in a guaranteed role upon graduation at one of Australia’s leading prosthetics facilities and $10k towards your final year of study?

We are excited to announce a Graduate Program that offers one successful applicant each year a unique opportunity to gain practical work experience at APC Prosthetics based in one of our facilities in NSW. As a respected leader in Australia, we are committed to continuous learning, application of the latest technologies and evidence-based practice. We aim to make interaction between customers and APC Prosthetics a rewarding experience.

The Graduate Program is currently open for applications.

 

Graduate Program Highlights

  • $10,000 payment towards your final year study costs
  • The successful applicant will complete their University Prosthetic Placement at one of the APC Facilities
  • 2-year fixed contract of employment immediately following successful graduation
  • Targeted mentoring and skill development working with a multidisciplinary team, exposure to a broad range of clients, and with the latest technologies
  • Up to 8 weeks of temporary accommodation at the commencement of the 2-year contract
  • Consideration for ongoing permanent employment at the completion of the Graduate Program

Assessment Criteria

  • Review of application & academic results
  • Face-to-face panel interview

Applicant Requirements

  • Penultimate year of the Australian University Prosthetics & Orthotics course
  • Committed to a 2-year fixed-term contract based at one of the APC Facilities in NSW, immediately post-graduation
  • Committed to complete University Prosthetic Placement at one of the APC Facilities in the final year of study
  • An Australian Citizen or Permanent Resident
  • Provide a copy of your P&O course academic transcripts
  • Application in your preferred format, i.e. video submission with a resume or resume & cover letter, submitted via email before the deadline.

Email your full application to ANZHRMgr@ossur.com, by Friday 30th October, outlining why you believe you should be chosen for this exciting opportunity. The successful applicant will be notified by the end of December.

Upper Limb Prosthetics

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The main objectives in upper limb (UL) prosthetics are to meet the vocational, recreational and lifestyle needs of each amputee and to achieve an aesthetically pleasing outcome. UL prosthetic management is a highly customised process.

Significant technological advancements in recent decades, especially the use of myo-electric units and targeted muscle reinnervation (TMR) have vastly increased the possibilities and capabilities of many UL prosthetic users.

There are several different types of prostheses for upper extremities. Your prosthetist will work closely with you, your rehabilitation specialist and other allied health team such as PT & OT to devise the solution right for you.

Body Powered Prostheses (Conventional)

Body powered prostheses are the most common type of upper limb prostheses. They allow the prosthetic user to control the terminal device (usually a hook or a hand) via a harness system that fits around the chest and shoulder. This type of prosthesis is reliable, durable and can be used in environments involving dust and water though it can be cumbersome and uncomfortable for some.

Externally Powered Prostheses (Myo-electric)

Externally powered prostheses use a battery powered electric motor to control the terminal device, eliminating the need of a harness system. Sensors, embedded in the socket, pick up an EMG signal on the skin and transfer it to a processor which controls the functions of the motor. This motor then powers the elbow/wrist or terminal device. Intensive training with your prosthetist and occupational therapist is essential to ensure a successful outcome. Many myo-electric devices come with training apps that you can use in the comfort of your own home. You can also add in custom movements or settings for your specific needs in most cases. There must be enough viable muscle sites to be considered a candidate for this style of prosthesis.

Hybrid Systems

Hybrid systems are a combination of externally and body powered prostheses. This type can be used for Trans-humeral (above-elbow) amputees, providing functional restoration of elbow and hand. Usually, the elbow joint is controlled via a harness system and the terminal device is controlled through an external power source, for example myo-electrically.

Cosmetic Prosthesis

This type of prosthesis is traditionally considered purely cosmetic and does not provide functional restoration. However, there are many benefits and uses of a ‘cosmetic’ UL prosthesis, including but not limited to using as a support/brace when using your contralateral limb (eg. Holding down paper with your prosthesis as you write) and maintaining muscle usage/limiting wastage of the proximal muscles. Having the cosmetic prosthesis present is often beneficial for regaining a sense of self confidence, and often has a positive effect on mental health. A cosmetic glove is applied to match individual skin colour.

Socket & Interface

The purpose of the prosthetic socket is to transmit forces from the residual limb to the prosthesis. The socket suspension, interface/liner design and prescription will be chosen to work with you level of amputation, residual limb shape and available funding.

Support Services

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Physiotherapy, Occupational Therapy & Exercise Physiology

Physiotherapy is currently available onsite at APC ‘s Alexandria and Northmead offices to assist amputees in varying stages of their prosthetic usage:

  • Gait re-education from initial fitting of the first prosthesis through to advanced functioning (eg. return to recreational activities, running, gym programs).
  • Upgrading/teaching the use of a new prosthetic prescription.
  • A program for the use of micro-processor knee joints.

Physiotherapy at APC Prosthetics is provided by Cathy Howells, a registered physiotherapist with a special interest in amputee rehabilitation and over 30 years’ experience working exclusively with amputees.

It is important as an amputee or someone with limb difference to maintain good muscle strength, flexibility and stability, to ensure your ability to use your prosthesis continues well into your later years. Working regularly with a physio throughout your life as a prosthetic user, can act as a reminder to engage the muscles you may not be using as much as you should be, or to help you kick some bad gait habits you may have developed. OTs can help you learn how to use your prosthesis (especially Upper Limb) for specific tasks and training, along with recommending any modifications that need to be made to your home or car. EPs are great for ongoing amputee targeted training, or if you have a sport or recreational activity you would like to learn to get back to or start doing since being an amputee.

How you access a physiotherapist and other allied health services depends on your funding.

  • ENABLE: A referral from your GP will be required, you can get 5 free PT visits per year if you are on a care plan. We can assist by writing a referral to back up your need for this support service.
  • NDIS: Talk to your planner at your next plan review to ensure there is sufficient funding available for the number of visits you require for the length of plan. Your prosthetic AT Assessment and request will advocate for any additional services deemed necessary for you to succeed with your prosthesis and goals.
  • INSURANCE: This will be negotiated with your case manager.
  • PRIVATE: There is always the option to go directly to a PT etc if covered by private health insurance or by paying directly. Your prosthetist can write a letter of referral/handover to communicate with your chosen provider in order to best help you succeed.

Medical Services 

The team at APC Prosthetics work closely with your rehabilitation specialist to ensure you receive the best treatment outcomes based on your health, healing and any other medical conditions that may affect your prosthetic use. Due to the long history of APC attending many amputee clinics for over 20 years, we have solid communication and a multidisciplinary team approach that leads to the quality service you will receive.

Specialty Prostheses

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Specially designed prostheses are often required when an amputee wants to perform activities that exceed day to day ambulation or activities.

APC Prosthetics continues to lead the profession in prosthetic innovation. Our team is internationally recognised in specially designed and sporting prostheses in a broad range of activities including athletics, skiing, cycling, golf, weightlifting and more. If you are interested in competitive or social sporting activities, we are happy to provide contact details for the respective sports institutes and sporting bodies.

Waterproof Prostheses

The most common specialty prosthesis is a waterproof prosthesis, which enables the amputee to use the prosthesis for tasks involving water, such as showering, swimming, or accessing the beach. Recent development of waterproof fibreglass feet have provided great advances in water-based recreational activity, and specially designed devices are also available to allow for the use of flippers.

Recreational Prostheses

The development of “hybrid” prosthetic components has expanded greatly, in particular the numerous designs of prosthetic feet which allow the amputee to access a wide range of recreational activities without compromising general walking e.g. Cheetah Xplore, XC Torsion, etc.

Task Specific Prostheses

A prosthesis used for a specific task/sport/activity – e.g. A weightlifting arm, drawing attachment, skiing or running prosthesis, etc.

If you have any questions about specially designed prostheses, please contact us.

Osseointegration

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Osseointegration (OI) is the structural connection between living bone and a load- carrying metal implant. First introduced into dentistry in the 1960s, OI has been an option for some lower and upper limb amputees since the 1990’s in Europe. The prosthetic components are attached directly to the implant via a connector, eliminating the use of a traditional socket. Whilst there may be numerous functional benefits to OI, there are also a variety of advantages and disadvantages to explore when considering if this option is right for you.

APC Prosthetics has been actively involved in the establishment of amputee services for OI users since its introduction to Sydney in 2010 and we have been managing over 500 amputees who have undergone the procedure. If you would like to find out more about OI, please ask to speak to one of our prosthetists.

New Amputees

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Amputee Treatment

The amputation of a limb is a life changing experience, and the requirements of each client are different and will change throughout their life.

Our philosophy is to work with each individual to comprehensively assess their needs, establish their requirements and then deliver the appropriate solutions.

All of our clients’ needs are unique, so our highly experienced prosthetists work closely with multidisciplinary health professionals to establish a customised treatment solution for each of our clients. The team includes Medical Specialists, Physiotherapists, Occupational Therapists and other health professionals.

APC Prosthetics has a strong support system to assist clients in challenging situations and work closely with Government/Health authorities and national professional bodies including EnableNSW, DVA, the NDIA and AOPA. We also maintain close relationships with global prosthetic technology groups, which allows us early access to the latest technological developments in both prosthetic components and manufacturing technology.

At APC Prosthetics, we are dedicated to achieving the best outcome for our clients, aiming for the best possible comfort, the best possible function and the best possible lifestyle.

Treatment Pathway

Interim Prosthesis:

The first phase of the prosthetic rehabilitation is the provision of an interim prosthesis. This generally occurs approximately 6 weeks after amputation when the suture wounds have sufficiently healed. The aims of the interim prosthesis are to establish early mobility and commence gait re-education as early as possible.

After a comprehensive assessment with the rehabilitation team, the rehabilitation specialist issues a prescription for the interim prosthesis. The prosthetist will then take a plaster cast of the residual limb, which is called a plaster negative. The plaster negative is then used to make a replica of the residual limb, which is modified to achieve a comfortable socket. The socket is then moulded over the plaster model.

Various liner materials are used to act as a cushion between the socket and the residual limb, absorbing and dissipating shock, shear and torque forces that occur during walking and standing on the prosthesis.

Next, the prosthetic components are connected to the socket and the client returns for their first prosthetic fitting. During this process one of our highly skilled prosthetists assesses the socket-fit and analyses gait to determine optimal alignment. The correct alignment of the prosthesis is essential to ensure maximum comfort and function.

You can expect regular modification to this first prosthesis, as the residual limb undergoes significant changes in shape and volume during the first months. After approximately 3 to 4 months the prosthetic interim socket will be replaced with the first definitive socket.

Definitive Prosthesis:

For your first definitive prosthesis, the prescription process is then repeated (dependent on your funding body, eg EnableNSW, NDIS, Insurance, etc.). The prosthetist will take a new cast of your residual limb and the manufacturing process begins again. The materials used to manufacture the definitive socket include fibreglass, carbon fibre or specially designed plastics. Utilising the latest manufacturing technologies and high-tech materials ensures a durable and extremely light socket.

The prosthesis is trialled for several days. It’s important you trial the check socket in as many real-life scenarios as possible in order to give your prosthetist quality feedback on the suitability of the fit and function. After the successful completion of the trial period, the prosthesis is cosmetically finished, to deliver a pleasing aesthetic result.

As the shape and volume of the residual limb will change over time, it is very important that the client sees their prosthetist on a regular basis (every 3 to 6 months), to ensure the socket is still fitting properly. Sometimes it is necessary for the prosthetist to make adjustments to the prosthesis to compensate for any changes. However, if the changes are too significant, a new socket (socket replacement) might be required.

Ongoing Care

Physiotherapy:

Physiotherapy is a vital factor throughout the entire rehabilitation process, including muscle-strengthening exercises and gait training. Your amputee clinic will have onsite physiotherapists who specialise in amputee gait training, and APC also offer specialised Physiotherapy sessions in our modern and fully equipped gymnasiums tailored to the individual needs of each client.

Lower Limb Prosthetics

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Prosthetic limbs are custom designed and made for each amputee. Over the past couple of decades significant advancements have been made in terms of prosthetic components and socket design. The use of lighter and more durable materials has resulted in improved comfort and function. The socket design and the components determine the level of comfort and function we can expect from a prosthesis. We will briefly overview the components of lower extremity prostheses.

Socket and Interface

The purpose of the prosthetic socket is to transmit forces from the residual limb to the prosthesis. A well-designed socket which is regularly reviewed or replaced as you change in shape will provide comfort and stability during walking and standing on a prosthesis. Your socket generally will be made of a combination of plastics, resin, fibre glass and carbon fibre to create a lightweight, durable prosthesis.

The interface/liner is intended to absorb shock and shear forces on the residual limb. It fits between your residual limb and the socket and can be made from various soft materials. Modern interfaces are generally constructed from silicon and urethane polymers, which help protect the tissue. They can also assist with suspension of the prosthesis by incorporating a pin that connects to a locking mechanism in the socket, or a seal which provides a negative pressure system.

Foot and Ankle

The human foot-ankle is a very complex functional unit. It provides stability as well as flexibility, absorbs forces and utilises muscle to generate energy for efficient and comfortable walking.

Over the past decades we have witnessed major improvements in design and manufacturing of prosthetic feet, allowing much more energy efficient and natural walking.  As each patient has different needs and lifestyles, it is vital to select the most appropriate prosthetic foot to achieve maximum comfort and function.

Knee Joints

Knee mechanisms for trans-femoral (above-knee) amputees have also seen major technological advancement in the last decade, greatly improving safety and function. Microprocessor controlled knee units have led these advances.

Incorporation of hydraulic and pneumatic mechanisms allows modern knee units to adapt to variable cadence and assists walking on slopes and stairs. New design concepts for multi-axial knee units have seen increased stability without the accompanying instability downside of higher energy expenditure. Your prosthetist will work closely with you to find a prosthetic knee prescription that works best for your lifestyle and goals.

There are many different socket design styles, suspension methods, prosthetic feet and knee units, which your prosthetist will work closely with you to prescribe the most suited based on your level of amputation, functional capabilities, goals, daily activities and lifestyle.

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