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Mild soreness or pressure at the residual limb during first weeks of socket adaptation.","preparation":["Residual limb fully healed with stable volume","Pre-fitting strength and balance exercises","Skin care of the residual limb","Bring current prosthesis and liners, if any","Agree on activity level and goals with the prosthetist"],"recovery_timeline":[{"phase":"Days 1-3","description":"Assessment, residual limb measurement, casting or scanning, and socket fabrication.","restrictions":["No prosthesis use until socket is ready"]},{"phase":"Days 4-7","description":"First fitting, alignment and device programming; initial walking in parallel bars.","restrictions":["Limited wearing time","Supervised walking only"]},{"phase":"Weeks 2-3","description":"Supervised gait training on slopes, stairs and uneven ground; socket adjustments.","restrictions":["Avoid long distances and unsupervised stairs at first"]},{"phase":"Months 1-3","description":"Gradual increase of wearing time and activity; refinement of settings with a local prosthetist.","restrictions":["Avoid high-impact sports unless the device is rated for it","Keep electronics dry"]}],"rehabilitation_days":{"min":10,"max":21,"unit":"days","qualifier":"Supervised gait training on site; continued practice at home."},"result_longevity":"Electronic components typically last about 5-8 years with servicing; socket often needs replacement every 1-3 years as the limb changes.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Socket refit or replacement, or component repair, within first year as the residual limb changes."},"scars":"No scars; the procedure involves no incision.","sessions_or_stages":{"sessions":{"min":8,"max":15,"unit":"visits","qualifier":"Assessment, casting, fitting, programming and gait training sessions."},"stages":[{"code":"assessment_casting","label":"Assessment, measurement and socket casting","after":{"min":0,"max":2,"unit":"days","qualifier":"From arrival."}},{"code":"first_fitting","label":"First fitting, alignment and device programming","after":{"min":3,"max":7,"unit":"days","qualifier":"After socket fabrication."}},{"code":"gait_training","label":"Supervised gait training and final adjustments","after":{"min":7,"max":21,"unit":"days","qualifier":"Until safe independent walking."}}],"qualifier":"Staged fitting with several visits in one stay."},"success":{"metric":"Patients reaching independent community walking with device","value":85,"unit":"percent of fitted patients","horizon":"3-6 months after fitting","population":"Adult transfemoral amputees with healed limb and moderate to high activity level","evidence_status":"limited"},"techniques":[{"name":"Microprocessor-controlled knee (e.g. C-Leg type)","suits_whom":"Above-knee or knee-disarticulation amputees with moderate to high mobility","recovery":"Gait training about 2-3 weeks; full adaptation 3-6 months"},{"name":"Powered or electronic ankle-foot","suits_whom":"Below-knee amputees wanting better slope and stair walking","recovery":"Gait training about 1-2 weeks; adaptation 2-3 months"},{"name":"Myoelectric-controlled leg components","suits_whom":"Selected users with reliable residual muscle signals","recovery":"Additional training for signal control; several weeks"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Per fitting or training session; the full fitting is spread over several sessions."},"initial_assessment_documents":["Photos of the residual limb","Amputation level and date","Amputation surgery discharge summary","Recent walking video with current prosthesis (if available)","Current prosthesis type and model (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Fitting and gait training fit in one 2-3 week stay; a second visit may be needed for socket refit."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the facilities and standards of the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Get a second opinion from a doctor on treatment options and whether treatment is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Ask the treating team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"A lack of information about the treatment before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"No discussion of possible complications before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F5","text":"No mention of aftercare before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Serious injury after a fall","urgency":"emergency","general":false,"source":{"url":"https://ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-falls-information","host":"ncic.nhs.uk","quote":"If seriously injured, you may need to go to Accident and Emergency, or your GP.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Possible skin infection on the residual limb","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Contact your care team for advice if you think you may be developing a skin infection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pain from the prosthesis","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-leg","host":"my.clevelandclinic.org","quote":"The prosthesis itself shouldn't be painful.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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