Prosthetics for Kids

APC has been providing prosthetics for kids with limb difference and amputation for many years. We are involved in the Limb Deficiency Clinics at Westmead Children’s Hospital and Sydney Children’s Hospital in Randwick, where we work closely together with rehabilitation teams to ensure the best outcomes for the kids we see.

We see a wide range of kids and families from across NSW; from Sydney and surrounds, to more regional and rural parts of the state. APC is an ever-growing family, now with 4 branches and associated outreach clinics, so we reach far and wide across NSW.

Working with the paediatric population is so special because each child is incredibly unique and has their own unique needs and goals. Here at APC, we love working together with kids and their families to help them realise those goals, and help dreams become a reality through providing the most appropriate prosthetics for kids; be it an upper-limb prosthesis to assist in riding a bike, or a lower-limb prosthesis for running and sports, and everything in between!

At APC we understand that each child has their own individual presentations, needs, and wants, and love working together with kids and their families to achieve the best results for all.

NDIS

Most children with limb difference are eligible for NDIS funding. If you’re not sure whether your child is eligible, speak with one of our prosthetists, or check out the eligibility criteria on the NDIS website.

We have been working closely with the NDIS since it was first rolled out in New South Wales, so we have an in-depth understanding of how to best help your child get the prosthetic services they need through the NDIS.

Cosmesis

Cosmetic Design: options for how your prosthesis looks

There are many different options when it comes to the cosmetic design of your prosthesis. For both upper and lower prosthetic limb users, it’s vital to consider what’s important to you so that your prosthetist can design a prosthesis that is both functional – meeting your lifestyle and goals, but also one that you like the look of it’s cosmesis. Making a prosthetic limb suit your style is fun for us, but it also has an important clinical role. Typically, if a prosthetic user is a part of the decision-making process and has a prosthetic limb that they like the look of, they are more likely to accept the limb, want to wear it and be proud of it. This can improve outcomes and can have a positive impact on mental health.

So, the more we can make your prosthesis be a part of your life, whether it be from blending in or standing out, we are willing to try and make it happen!

Realistic Cosmesis

For some, they want their prosthesis to look as close to an anatomical leg or their sound side as possible. This often helps these users to accept their prosthesis and promotes higher usage/wear rate. The level of realism attainable depends on your funding body.

Some options available are:

  • Foam cover shaped in house to resemble your sound side.
    • Covered with a cosmetic stocking or leather. (Check out our Instagram for how these are made)
    • Covered with a silicone cover ordered and fabricated externally. These vary in price dependent on the level of detail.
  • Exoskeletal prosthesis – either solid or hollow prosthesis without modular components, made in-house & shaped to your measurements, with a pigment mixed in to match your skin tone.

Fashion/Statement

Other prosthetic users prefer their device to represent their fashion sense, their football team, a favourite colour or even have tattoos! For these clients, there are many options for cosmesis that we can achieve both in-house or  by working with external companies to order in a cosmetic option right for you.

 

  • Provide your prosthetist with fabric of your choice to be embedded into the lamination of your socket.
  • Choose a colour of pigment to be mixed into the resin for your socket.
  • Custom covers can be made in-house with a cosmetic finish of your choice
  • Your prosthetist can take measurements and order a removable cover for you from companies such as Alleles and UNYQ. These can be beneficial also in filling out long pants and protecting your clothing from the componentry/preventing tear

There are many more options available so if you have something specific in mind it is important to talk to your prosthetist early on so we can make your prosthesis just right for you!

Stump Socks – How To Care For Them

The two main reasons for wearing stump socks are:

  1. To protect the residual limb from excessive rubbing against the socket.
  2. To allow the prosthesis to fit better as your residual limb changes. You may find that you wear only one sock in the morning, but have to add a second one as the day progresses. In this case, the sock is used to fill the space between your residual limb and the socket.

Socks & Pelite liners

It is important to find the right combination of socks when using a prosthesis with a pelite liner. This combination can change both throughout the day, and over the life of your prosthesis. With a pelite liner, as you reduce in volume, you may find you need to fill the space between your residual limb and the liner, and/or between the liner and the hard socket to snug up the fit. If you have any queries on how to do this, you can ask your prosthetist.

Socks & Silicone liners

Unlike in traditional pelite liners, when using socks with silicone/gel liners, the sock is used outside the liner between the liner and the hard socket which maintains contact of the silicone/gel with your skin.

Pin liners: It is important to ensure the pin is completely through the hole located at the end of your sock so that the fabric doesn’t get caught in the lock body. If this happens, it can cause the lock to stick and you will have trouble doffing your prosthesis.

Seal-in liners: If your prosthesis uses a rubber sealing ring to create a vacuum suspension, talk to your prosthetist to ensure you understand volume management for your liner type. Some do not support the use of socks. If it does, make sure that the sock is neatly tucked under the sealing ring prior to donning your prosthesis.

If you find you have reduced in volume to an extent that you are slipping inside the liner itself, contact your prosthetist as you may need a new liner, or an alternate solution to be found.

 

Cleaning your stump socks

It is very important to keep your stump socks in a clean and hygienic state. It is important that any socks you wear are cleaned daily.

It is important that you look after your socks and make sure you have enough to wash and wear.

Not washing your socks properly can lead to build up of dirt and other nasties, which may cause skin irritations such as redness, rash, itchiness, bumps, pimples, etc.

Tip: Never wear your shrinker sock with your prosthesis. The shrinker is to be worn to provide compression when you are not wearing your prosthesis. Wearing the shrinker with the prosthesis can cause skin irritation and/or breakdown.

DO’s and DON’TS that will help you clean your prosthetic stump socks correctly

Do’s:

  • Do squeeze suds gently through the prosthetic socks and rinse with clear warm water.
  • Do use an approved wool detergent to wash your socks, preferable by hand.
  • Do roll the socks in a towel to blot out the extra water.
  • Do hang socks to dry.

Dont’s: 

  • Do not use hot water as this might cause your socks to shrink.
  • Do not twist and rub wet socks as this may cause the socks to loose their shape.
  • Do not wring the socks out.
  • Do not use a clothes dryer to dry the socks.

Tip: Be careful of wearing too many socks. If you experience blisters, localised swelling and or a purple tinge to the very end of your residual limb, often accompanied by the tissue consistency firming up over time, you may be packing yourself out of your socket. It’s important to maintain contact with the end of your limb and the socket to avoid this hyperplasia. If you are wearing more than two thick socks consistently, it’s a good idea to check in your prosthetist to assess socket fit.

 

Care for your Liner

Liner Care

If you have a prosthetic liner you should wash it on a daily basis. Never put your liner in a washing machine or clothes dryer, as it may damage or even destroy it. Ensure the soap/detergent you use is non-abrasive, mild and no fragrance. These substances and harsh detergents and chemicals can slowly eat away at the silicone or gel and reduce the life of your liner.

 

How to clean your liner

Step 1: Use a damp cloth with a mild detergent to wipe it out

Step 2: Dry it with a towel and leave it overnight to dry completely.

Step 3: Leave liner to dry the right way out (silicone/gel on the inside). This ensures no dust or other particles will stick to the inner surface. Note: Leaving the liner rolled up or inside out can warp the shape and damage the inner surface which can lead to skin abrasions and irritations.

Tip: Quick refresh! During a sweaty day you can do a quick refresh by only cleaning the inside of the liner and drying with a chamois or micro fibre towel. Not getting the fabric outer wet means you can get on with the rest of your day with a fresh liner.

Deep cleaning: You can completely submerge your liner in warm, soapy water to deep clean the outer layer of protective fabric as it is required.

Make sure to remove any grit, skin or fluff from the inside of your liner, as this can cause both skin irritation/rubs or reduce the effectiveness of the suspension of the liner.

It is important to rinse out the liner with clean water (no soap) to remove any soapy residue as this can cause skin irritation/contact dermatitis.

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