Some people have expressed interest in this so I thought I would share a bit about it. Amputees usually need a new socket every 2 years, especially the first one because there is a lot of shape change and atrophy in the limb. I am fortunate to still be able to pump my calf muscle so I didn't atrophy much and I got almost 4 years out of my socket. But it was no longer fitting well and that causes problems.
So we just finished the process of making me a new leg. It's about 2 months start to finish. First you make a mold of your stump for the liners that go underneath. They get made by a company based out of Germany (with an office in Salt Lake though) called OttoBock. They are silicone type of material that actually acts like a fluid in how it smushes around.
Once the first one arrives, you wear it and make a cast for the socket. The socket is then made out of plastic and fiberglass because it's quick, my prosthetist did it in about 4 hours, and they are cheap because you may need a couple of them. They are heavier and less durable than the final one which is why they are called "check sockets." You wear that for a few weeks, making sure the fit is good but being aware it could break if you were to behave like its the final one. Mine was great and we didn't make a second.
They then make the final socket out of carbon Fiber, and new componentry is attached. The final socket is about 12grand so you can see why insurance wouldn't want them making more than one. All told the leg comes in at about 30grand. I'm VERY fortunate to have good insurance and an amazing prosthetist.
My type is called "elevated vacuum" because it actually creates vacuum in the socket which is how it attaches. It holds on strong enough that if I'm sitting in a chair and you pull on it, the chair will move or I'll come out of the chair before the leg comes off. It's very secure and responsive. Vacuum is created by a pump in the components and pumps every time you take a step to keep vacuum up. If you sit still for a few hours you lose a little bit of vacuum but it comes right back with 2 steps or so.
Here is the old leg. Total weight about 8lbs
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