Our Services: Foot and Leg Amputation
Whether you have lost a part of your lower limb in a traumatic accident or just found out you need to undergo an amputation, our team can help you assess your treatment options.
What kind of prosthesis is right for you? Can the osseointegration procedure improve your quality of life? Do you have nerve pain, phantom pain or other kinds of pain in your limb that are significant problems for you? Who can help you address the psychological effects of losing a limb? Our specialists can help answer these and other questions, as well as develop a treatment plan to help you return to your favorite activities.
Our Services
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The rehabilitation team includes rehabilitation physicians, physical and occupational therapists, prosthetists, nurses and rehabilitation psychologists.
Each of these specialists plays an important role in helping you get the training and develop the confidence you need to live your life to the fullest despite the limb loss.
Our rehabilitation approach includes:
- Evaluation
- Education
- Prosthesis prescription and monitoring
- Phantom pain management
- Rehabilitation psychology to help address psychological effects of limb loss.
- Physical therapy for foot and leg prosthetics
Call 443-997-5476 to request an appointment.
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Osseointegration is a surgical procedure that aims to offer a better quality of life and improved function and mobility to people who have had an amputation. This surgery involves inserting a metal implant into the bone of the remaining part of the limb. The metal implant attaches directly to a prosthesis, eliminating socket-related issues while typically improving the efficiency of muscles and movements of the limb during use. Osseointegration can be performed in one or two stages, depending on the implant system.
Fill out this form to see if you are a candidate for this procedure.
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Targeted muscle reinnervation (TMR) is a surgical procedure that “re-wires” the nerves that used to control a now missing part of your body, into muscles that are still present. For the lower extremities, TMR is usually used to help improve nerve-based pain, such as neuroma or phantom pain.
However, in some people, those nerves can generate a nerve signal using the new muscle as an amplifier. A modern myoelectric prosthesis, a prosthetic with motors and batteries, can detect that signal and perform a function assigned to that signal, making the use of the robotic prosthesis more natural. This use of TMR is more often used in people with upper limb amputations, but there may be lower limb amputation cases where it could help in controlling a myoelectric prosthesis of a lower limb.
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Reconstructive microsurgery involves moving tissue from one part of the body to another to reconstruct an area of need. This tissue transfer or free flap surgery can involve moving skin, fat, muscle, and/or bone. To keep the tissue alive, the blood vessels that supply the perfusion of the tissue being moved are re-connected, or anastomosed, to blood vessels in the area of the body that is being reconstructed. This is similar to a transplant of your own tissue. The most common reasons for patients to undergo this type of surgery are cancer, trauma, and infection.
The goal of the flap surgery is to reconstruct the form and function of the missing tissue. This may involve reconnecting nerves to allow muscle function or skin sensation, or using tissue that more naturally recreates the feel of the missing tissue.
Featured News Stories
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Tougher Skin for Amputees
What if there were a way to make the skin at an amputation site tougher, like the palm of your hand or the sole of your foot? Johns Hopkins dermatologist Luis Garza is developing a cell therapy that could enable prosthesis wearers to use their devices longer.
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Rehabilitation Offers a Full Life After Limb Loss
A comprehensive program in amputee rehabilitation helps patients avoid amputation becoming a lifelong disability.