Prosthetics

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Prosthetics

APOS offers bespoke prosthetic services to both private and medical card patients across the island of Ireland. A prosthesis is a device that substitutes or replaces a missing body part. Prostheses are intended to preserve or restore the functions of the missing body part. There are many reasons you may be missing part or all your limb, the most common are diabetes, vascular disease, cancer, trauma and there are those born with congenital limb loss. If you have had an amputation or were born without a limb or limb segment, you may wish to be fitted with a prosthesis.

Our service

At APOS we have an experienced team of internationally qualified and trained prosthetists supported by a highly skilled technical team who work with you to design and fit your prosthesis at our Kilcolgan facility. Our service includes evaluation, in-house fabrication and custom fitting of artificial limbs to help enhance the function and lifestyle of those affected by limb loss. Depending on the level of limb loss, your general health and fitness and your own expectations, this could range from a cosmetic prosthesis to restore body image, a light weight prosthesis to allow independence around the house, a functional device to allow you return to employment or increase your activity level from walking to the shops all the way up to running on a blade or participating in sports.

Prosthetic Evaluation

• Before you visit APOS your physician/G.P. will evaluate your condition and write a prescription for a prosthesis
• During your first visit to APOS a prosthetist will meet with you to conduct a more complete evaluation relying on your input. At this stage, you will be able to outline your medical history, physical activities, current lifestyle and future lifestyle aspirations
• Your prosthetist will assess your range-of-motion and muscle strength and take measurements of your body. He or she also will make an impression of your residual limb. This helps to ensure a comfortable fit

Prostheses have many different features and options – your needs, goals and physical ability play a big part in choosing the most suitable prosthetic limb for you. Your Prosthetist will discuss your expectations in detail with you in order to provide the best solution to complement your lifestyle.


  • Transtibial (below knee)
  • Transfemoral (above knee)
  • Hip disarticulation & Hemi-pelvectomy
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  • Partical foot & ankle disarticulation

Transtibial, or below knee (BK), amputation is the most common level of amputation. A well-fitting socket allows for the pressures of walking to be spread over the entire surface of the residual limb so that high pressure is not felt on the sometimes sensitive, cut end of bone. The socket shape is captured using a plaster-of-Paris mould or a 3D scan of the residual limb. This shape is then enhanced by the prosthetist to maximise comfort and support.  The socket is usually fitted over a liner, either made from a firm foam or silicone rubber. The pylon connects the socket to the foot and makes up the height difference so that the person is balanced. Depending on the activity level of the user and their prosthetic goals there are thousands of prosthetic feet to choose from. ​

At APOS we pride ourselves on being an independently owned company. Allied to this comes the freedom to offer state-of-the-art, prosthetic technology from a variety of global manufacturers. Accordingly, your prosthetist will help you choose the best solution to assist you in meeting your lifestyle expectations.​

For more information or if you would like to book an appointment, please call us at 091 796983.

Transfemoral amputations (above-knee) occur at the knee joint or between the knee and hip (through the femur). A transfemoral prosthesis includes joints and pylons to mimic the thigh, calf, and joints in the knee, ankle, and foot.​

Similarly, with transtibial prostheses the socket shape is captured using a plaster-of-Paris mould or a 3D scan of the residual limb. This shape is then enhanced by the prosthetist to maximise comfort and support. ​

Your prosthetist will discuss weight bearing, suspension, foot, ankle and knee options with you to maximise your prosthetic rehabilitation. ​Please call us on 091 796983 for further information or to book an appointment.

With hip disarticulation or transpelvic amputation, your prosthetic leg will simulate the hip, knee and ankle joints. While these prostheses generally take longer to get used to, our internationally trained prosthetists will work with you to help you successfully wear your prosthesis throughout your daily life.

For more information or if you would like to book an appointment, please call us at 091 796983.

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A partial foot amputation can be anything from a single toe to the entire foot forward of the heel.  There are a number of distinct surgical techniques for certain levels, such as Lisfranc, Chopart and Pirogov (each named for the surgeon who invented them).  Another common amputation is a ray amputation, where one or a number of toes are removed along with the corresponding metatarsal bone.

The majority of partial foot amputees are able to bear weight on their foot and walk without a prosthesis, but they may find walking difficult or painful.  The prosthesis required will vary depending on the level of amputation, and may consist of a moulded insole, a silicone prosthesis that encloses the ankle, or a rigid plastic prosthesis that comes up as far as the knee.  Generally speaking, the more of the foot that is lost, the larger and stronger the prosthesis needs to be to support the body and allow for a natural gait.

The ankle disarticulation, commonly known as a Symes amputation (again after the surgeon who invented the technique), is similar to a partial foot amputation but with the heel bone also removed.  As the shin bones are not cut it is often possible to bear some weight through the residual limb, but a person may only be able to take a few steps and only on soft grass or carpet.  Their gait will be very unnatural due to the shortening of the leg.  A Symes prosthesis has a prosthetic foot that provides stability and leverage for walking, and a socket that encloses the entire lower leg; some weight can be taken through the end of the residual limb but some must be taken through the socket below the knee cap.

  • Partial hand & wrist disarticulation
  • Hero Arm
  • Sports & recreational prostheses
  • Microprocessor prosthetics
  • Useful LInks

Prosthetic solutions for upper-limb amputations answer a very different challenge. The function of the human hand is harder to replicate in comparison to a foot or knee. Advances in technology have brought the introduction of myoelectric prostheses but often a person may simply wish to have a prosthetic arm that is cosmetically appealing, allows them to maintain a symmetrical body image, helps their balance and does not draw attention to their limb absence. There are also a wide variety of functional devices that can be used in place of a hand – such as a hook, tool holder, knife or steering wheel attachment. While they may look unusual, many people find the added function invaluable when performing certain tasks.​

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 Meet the ‘Hero Arm’ byLink to the Open Bionics Website

The ‘Hero Arm,’ a lightweight, innovative and practical, prosthetic solution, is now available in Ireland through APOS. Call 091 796983 for more information or to make an appointment with a member of the APOS clinical prosthetics team. 

We can also provide prostheses for specific activities such as sport or hobbies. For lower-limb amputees we offer running prostheses with ‘blade’ feet, limbs that are water-resistant for use in the shower, getting around at a swimming pool or walking on the beach, and limbs for cycling, skiing and more. For upper limb prostheses we have made bespoke terminal devices for anything from holding cutlery to holding the bow for a violin.

Call  091 796983 for further information or to meet with a member of the APOS clinical prosthetics team. ​

APOS provides an extensive range of microprocessor prosthetics to restore functional independence and restore mobility. Microprocessors can be used in both upper and lower limb prosthetic solutions .Our experienced and registered clinicians have great expertise in sourcing the optimum prosthetic solution based solely on your own individual case, clinical needs and lifestyle expectations.

We work with all the ‘industry leaders’ in assisting our clients achieve greater functional independence and mobility. As Ireland’s largest independent provider of prosthetics we can offer all our clients the widest range of solutions available on the international market. Our clinicians will assess and measure you for your device here in Ireland negating the need and cost of traveling abroad to other centres such as the U.S., U.K., Germany or other E.U. member states. 

See also prosthetic information guide.

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  • Support
Support

Often when a person loses a limb, they require help in learning to adapt to their new situation. This may involve learning to walk with a prosthesis, physiotherapy to improve muscle strength, occupational therapy to learn to perform tasks with an upper limb prosthesis (or with only one hand if you choose not to be fitted with a prosthesis), or counselling to deal with the emotional difficulties that follow what can be a very traumatic experience. APOS can help you with all these problems. We work closely with other members of the healthcare profession and can refer you on to other services that can provide specialist treatment.

APOSITIVITY is an informal peer to peer network offering support and a voice to APOS service users and their carers on the issues that affect them and the wider disabled community. It also provides an opportunity for service users to get together over a cup of tea in an informal, non clinical setting to swap tips and life-skill hacks in managing their ‘new normal.’ The aim of APOSITIVITY is to build a network of people with various degrees of disability to positively encourage and support each other in reaching full potential and assist in overcoming circumstantial barriers.

  • Useful links
Useful links

See also prosthetic information guide. Download here.

Samaritans​

Farmers group​

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Reach – Information for parents of children with upper limb difference: https://reach.org.uk/ ​

Case studies

Example https://www.blatchfordclinic.com/case-studies/lees-echelonvt-story/


Restoring Functional Independence

APOS Ltd is an Irish owned, specialist clinical, Prosthetics and Orthotics provider. We are involved in Gait Analysis and the manufacture and fitting of specific Prosthetic and Orthotic devices to clients with a wide range of pathologies.

We pride ourselves in our innovative and creative design and we strive to provide the highest quality services for our patients.

Atlantic Prosthetic Orthotic Services Ltd Company Registration Number 352490