How is a transtibial prosthesis constructed?

A transtibial prosthesis consists of several parts. The special construction is individually adapted to the patient and his needs. For example, people who only spend time indoors and cover short distances have different lower leg prostheses than a person who can move around indoors and outdoors without restriction.

In general, a prosthesis consists of a shaft, a connection unit and a prosthetic foot. It is also possible to cover the prosthesis cosmetically to adapt it to the received Bei. Directly below the knee joint, the prosthesis is connected to the stump of the leg via the shaft.

The prosthesis shaft encloses the stump and distributes the body weight evenly. The shaft is attached to the stump using various closure techniques (vacuum, shuttle lock, clutch lock). The socket must be comfortable to wear and must not press, which is why it is optimally adapted to the shape of the stump for each patient. The patient has contact with the lower leg prosthesis via the prosthesis foot. There are many different models of prosthetic feet, which are selected according to the patient’s degree of mobility.

What does a transtibial prosthesis cost?

The costs for the fabrication of a transtibial prosthesis are between 6,000 and 20,000 Euros. The big difference in price results from the fact that each prosthesis is individually adapted to the patient and his or her needs. Most hospitals work with prosthetists who automatically approach the patient after an amputation and advise him/her.

The patient’s needs are discussed in a consultation. The price of the transtibial prosthesis depends on the patient’s degree of mobility and the activities he or she wishes to perform. According to the law, every patient who has undergone an amputation is entitled to a prosthesis.

The health insurance companies cover the costs. Normally, the health insurance company covers the full cost of a transtibial prosthesis. Every person who has had a part of the lower extremity amputated is also entitled to a waterproof lower leg prosthesis (bath prosthesis). The costs of replacement prostheses, which patients need when their everyday prosthesis needs repair or is not operational for other reasons, are generally not covered by statutory health insurance. However, exceptions are possible in individual cases.