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Adjustable-Volume Prosthetic Sockets: Market Overview and Value Propositions.

T D Klenow1, J Schulz2

  • 1Martin Bionics Clinical Care, Fort Myers, Florida, USA.

Canadian Prosthetics & Orthotics Journal
|August 24, 2023
PubMed
Summary
This summary is machine-generated.

Adjustable-volume prosthetic sockets offer improved fit and efficiency for amputees. Reimbursement reform is needed to support adoption of these advanced prosthetic solutions.

Keywords:
AmputationInnovationInterfaceLimb LossMedical EquipmentModularProsthetic SocketsProstheticsRehabilitation

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Area of Science:

  • Prosthetics and Orthotics
  • Biomedical Engineering
  • Rehabilitation Medicine

Background:

  • Prosthetic socket fit is critical for amputee health, preventing skin breakdown and maintaining activity levels.
  • Vascular etiology, common in amputations, causes limb volume fluctuations, complicating traditional socket fit.
  • Existing adjustable-volume sockets face market penetration challenges primarily due to reimbursement issues.

Purpose of the Study:

  • To review the emerging landscape of adjustable-volume prosthetic sockets.
  • To highlight the advantages of adjustable-volume sockets over traditional rigid-volume designs.
  • To discuss the implications for prosthetic care, reimbursement, and professional adaptation.

Main Methods:

  • Review of current adjustable-volume socket types: prefabricated, modular, custom with adjustable components, custom with adjustable features, and hybrid.
  • Analysis of benefits for patients (micro-adjustability), prosthetists (macro-adjustability, efficiency), and clinics.
  • Examination of market disruption and the need for reimbursement reform, including L-codes and alternative payment models.

Main Results:

  • Several types of adjustable-volume sockets are emerging, offering enhanced fit customization and efficiency.
  • These sockets allow for real-time adjustments by patients and simplified fitting processes for prosthetists.
  • The adoption of adjustable-volume sockets necessitates changes in reimbursement structures and prosthetist skillsets.

Conclusions:

  • Adjustable-volume sockets represent a significant advancement in prosthetic technology, improving patient outcomes and care efficiency.
  • Reimbursement reform is crucial for widespread adoption and requires new coding and payment models.
  • Prosthetists must adapt by enhancing their skills and advocating for professional licensure to differentiate their expertise.