Prosthesis - Cost

Cost

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Transradial and transtibial prostheses typically cost between US $6,000 and $8,000. Transfemoral and transhumeral prosthetics cost approximately twice as much with a range of $10,000 to $15,000 and can sometimes reach costs of $35,000. The cost of an artificial limb does recur because artificial limbs are usually replaced every 3–4 years due to wear and tear. In addition, if the socket has fit issues, the socket must be replaced within several months. If height is an issue components can be changed, such as the pylons.

Low cost above knee prostheses often provide only basic structural support with limited function. This function is often achieved with crude, non-articulating, unstable, or manually locking knee joints. A limited number of organizations, such as the International Committee of the Red Cross (ICRC), create devices for developing countries. Their device which is manufactured by CR Equipments is a single-axis, manually operated locking polymer prosthetic knee joint.

Table. List of knee joint technologies based on the literature review.

Name of technology (country of origin) Brief description Highest level of

evidence

ICRC knee (Switzerland) Single-axis with manual lock Independent field
ATLAS knee (UK) Weigh-activated friction Independent field
POF/OTRC knee (US) Single-axis with ext. assist Field
DAV/Seattle knee (US) Compliant polycentric Field
LEGS M1 knee (US) Four-bar Field
JaipurKnee (India) Four-bar Field
LCKnee (Canada) Single-axis with automatic lock Field
None provided (Nepal) Single-axis Field
None provided (New Zealand) Roto-molded single-axis Field
None provided (India) Six-bar with squatting Technical development
Friction knee (US) Weigh-activated friction Technical development
Wedgelock knee (Australia) Weigh-activated friction Technical development
SATHI friction knee (India) Weigh-activated friction Limited data available

There is currently an open Prosthetics design forum known as the "Open Prosthetics Project". The group employs collaborators and volunteers to advance Prosthetics technology while attempting to lower the costs of these necessary devices.

A plan for a low-cost artificial leg, designed by Sébastien Dubois, was featured at the 2007 International Design Exhibition and award show in Copenhagen, Denmark, where it won the Index: Award. It would be able to create an energy-return prosthetic leg for US $8.00, composed primarily of fiberglass.

Prior to the 1980s, foot prostheses merely restored basic walking capabilities. These early devices can be characterized by a simple artificial attachment connecting one's residual limb to the ground.

The introduction of the Seattle Foot (Seattle Limb Systems) in 1981 revolutionized the field, bringing the concept of an Energy Storing Prosthetic Foot (ESPF) to the fore. Other companies soon followed suit, and before long, there were multiple models of energy storing prostheses on the market. Each model utilized some variation of a compressible heel. The heel is compressed during initial ground contact, storing energy which is then returned during the latter phase of ground contact to help propel the body forward.

Since then, the foot prosthetics industry has been dominated by steady, small improvements in performance, comfort, and marketability. Jaipur Foot, an artificial limb from Jaipur, India, costs about US$ 40.

Read more about this topic:  Prosthesis

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