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Heather Mills - Amputee Forum
Hefty

Hi all, Through knee advice needed please

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Hello everybody,

I'm new here, although I've been a RBK for 10 years, my background is that im 46 and a veteran, basically im here for advice from any through knees that might be on here, rare people indeed, I know (about 2% of all lower limb amputations aparantly) but basically a week ago I had an injury which ruptured my artery and snapped a tendon, because the one affects the healing of the other my only option is further amputation, so I'm left with the crappy choice of above or through knee, both have pros and cons, but I can't find much info from people that live day to day with it, most of the information is from doctors who give hypothetical pros and cons. To cloud the issue a little, I'm 6'5" so fitting into plane/train/cinema seats etc is difficult enough anyway. Many thanks in advance, any advice gratefully received

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Hi

I am sorry I can't help you, but I didn't want you think no one cares. I wish you all the best and a quick recovery!

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Hi, Hefty, and welcome!  I've been away myself with some minor stump revision issues...fortunately, I'm still a below knee, instead of becoming a through-knee.  Unfortunately for you, however, that means that I also don't have personal experience to share with you...just more theory.  In theory, going through joints can provide better stability for an amputee...but, as you suspect,  your height could prove to be a problem because of having "knees" at twodifferent heights.  If you have the time and opportunity, I'd suggest trying to consult with a variety of prosthetists, seeking out those who have good experience with both through- and above-knee amputees.  If they could put you in touch with similar amps that they have fitted, that would be especially helpful.

Please keep us posted on your progress and decision...I wish you all the best!

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Thanks BethMarie and Cherylm. I've gathered as much information as I can (which isn't much!) and decided on through knee, I have spoken to a few prosthetists and opinion varies wildly, mine prefers it as he says he rarely sees the 2 through knee amps at the centre I go to, unless they wreck their legs (which I am prone do doing quite a lot) they don't have the same socket associated problems by all accounts. There is aparantly a third option my surgeon has offered, through knee with removal of a section of thigh bone in the middle, giving the appearance of an AK , but it means the knee joint sits parallel to the real knee, this is more cosmetic, but might work for me as cycling and weight training are now my exercise of choice, I've got about a week to decide anyway. Many thanks once again ladies.

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Well, "option three" does sound like it solves a problem...as well as sounding rather drastic!  If you do decide to go with that one, Hefty, I'd be interested in how it works for you.  It does sound like it could make your exercises of choice less complicated!  And the theory about through-knees having few problems with sockets sounds like a logical one to me...a lot less soft tissue at the knee, so a lot fewer problems with volume changes. :smile:

I've been through some fairly drastic surgeries on my one remaining foot/leg and have found that sometimes it can be better to dive right in there...for several years I fought having bones removed from my foot and additional tendon surgeries on that side, but once I finally had those three final procedures done I found that it made a tremendous improvement in my mobility.  It helps if you really trust your surgeon!

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