Transtibial (Below Knee)
A transtibial prosthesis replaces the function of missing anatomical segment(s) from below the knee to the floor. This excludes partial feet .
The way we do it
The prosthetic socket is the main connection between the residual limb and the prosthesis. It is the socket that must distribute the forces through the residual limb. The more intimate the socket the better the function and comfort of the prosthesis.
The socket can be suspended in numerous ways including:
Prosthetic Treatment Pathway
The patient is assessed by the Certified Prosthetist to determine what
would be the most suitable interface, socket design, suspension method, foot, and cosmesis.
The most appropriate prosthesis for a patient is based on a physical
examination, history, and interview. A typical prosthesis will consist of an interface (link to glossary), socket, suspension modality (see above ), a prosthetic foot, and a connection between the socket and the foot.
The prosthesis is evaluated by a Certified Prosthetist:
Many patients are fit with prosthetic gel liners these can be washed
everyday using a mild soap and water. It is important that all the soap is washed from the liner as residue can irritate the skin.
After a prosthesis is first fit the patient usually requires some gait training.
The patient wears the prosthesis and contacts the Certified Prosthetist with any issues
The body is constantly changing but the prosthesis is not.
Alberta Aids to Daily LivingThe Alberta Aids to Daily Living (AADL) program helps Albertans with a long-term disability, chronic illness or terminal illness to maintain their independence at home, in lodges or group homes by providing financial assistance to buy medical equipment and supplies. An assessment by a health care professional (Orthotist or Prosthetist) determines the equipment and supplies that an Albertan can receive through this program. Albertans pay 25% of the benefit cost to a maximum of $500 per individual or family per year.
Seniors, low-income Albertans, and those receiving income assistance are exempt from paying the cost-sharing portion. For some benefits, clients may choose an upgraded item and must pay the additional cost of this item. These additional costs are not included in the $500 cost-share maximum.
You may be eligible for benefits through AADL if you:
Visit Alberta Aids to Daily Living website for more details regarding the AADL program including forms can be found ›
Workers’ Compensation Board (WCB) - Alberta
Every hour, Albertans are injured on the job. The Workers’ Compensation Board - Alberta is a not-for profit organization that helps injured workers return to work as quickly and as safely as possible. I some cases foot orthotics and various bracing (i.e. knee, back, etc.) is required to return to work. In most cases our members will work with the prescription you received from a physician and determine what to recommend. Then your WCB case worker would be contacted to secure approval for the item you require. Most items requested are established within the contract and fee guide that is negotiated between membership and WCB – Alberta. In some cases a special request is required for items not contained within the fee guide. WCB would be direct billed for treatments provided on your behalf
Visit WCB - Alberta’s website for more details ›
Non-Insured Health Benefits (NIHB) Program
Health Canada's Non-Insured Health Benefits (NIHB) Program provides a limited range of medically necessary health-related goods and services to eligible registered First Nations and recognized Inuit, when these goods and services are not already provided through private insurance plans, provincial or territorial health and social programs, or other publicly funded programs.
NIHB Program benefits include a specified range of medical supplies and equipment (i.e. orthotics, custom footwear, prosthetics); prescription drugs and over-the-counter medications; dental and vision care; short-term crisis mental health counseling; and transportation to access medically required health services that are not available on the reserve or in the community of residence. The Program also funds provincial health premiums for eligible Clients in British Columbia.
The Provider Guide for Medical Supplies and Equipment (MS&E) Benefits explains the terms and conditions, the policies, and the benefits under which the NIHB Program will reimburse medical supplies and equipment provided to eligible Clients. As policies and procedures evolve, the guide is updated accordingly and providers are advised of these changes through the Program's newsletters and bulletins.
NIHB would be direct billed for treatments provided on your behalf
Vist the NIHB website to learn more about the program ›
Veterans Affairs Canada (DVA)
Provides coverage for prostheses, orthoses, and other related accessories. Repairs to equipment are obtained under this program. Like most paying agents our members require prior approval before providing any items. Pre authorization paperwork will need to be completed and submitted to pursue any funding available. DVA would be direct billed for treatments provided on your behalf.
Examples of benefits covered:
Visit the Veterans Affairs website to learn more ›
Funding available from private insurance companies varies a great deal and how our members interact with third party insurers would also vary. Please speak directly with any of our members in regards to any specific third party insurance related questions you may have.