prosthetic, prosthetics, prosthetic devices, prosthetic fittings

Diabetes and Prosthetics 



Diabetes is the leading cause of lower extremity amputation due to issues like peripheral arterial disease (PAD), nerve damage, foot ulcers, and infections. After an amputation a prosthetic can be used to return mobility.  A diabetic needs to carefully monitor the fit of their prosthetic and their skin for any irritations or ulcers that could develop.  The high shear forces or excess pressures, positive or negative, are bad for any amputee but especially so for a diabetic. Coupled with decreased subcutaneous tissue, these forces may result in a problem for an amputee. Body positioning, local tissue environment, and activity levels may also contribute to the problem and should be distinguished from breakdown related to direct pressure from a poorly fitted socket. If the socket is very tight this could lead to continuous pressure problems possibly creating edema.  Repetitive motion over a short duration with pressure levels of 30-300 pounds per square inch or more can cause ulceration.  While a total contact cast or socket with correctly applied tension can reduce the likelihood of tissue damage, it is important that diabetic patients pay close attention to the fit of their prosthetic socket and inspect their tissue frequently for any signs of irritation or damage. 

Whether you are in need of a prosthetist for the first time, or whether you are looking for a new prosthetist, Skyland Prosthetics can guide you to a solution that provides both confidence and comfort.