Trust, evolve and thrive with Ottobock
Ottobock have been proudly providing the C-Leg 4 to medium to high active individuals through the NHS since 2016. However, did you know that less active individuals could get funding for the Kenevo. So whether you have a ‘through knee’, ‘above knee’ or hip disarticulation amputation, there is an MPK available for you.
The funding means that amputees not only have access to an MPK which provides the most natural walking pattern (the C-Leg) but with the Kenevo the less active individuals can use this leading knee joint for improving mobility and gaining independence.
Lower mobility patients can access the NHS funding when it is demonstrated that the use of an MPK can improve mobility.
The Kenevo adapts with your skills whether it is using a prosthesis for the first time, during rehabilitation or practicing sitting down. This knee joint focuses on safety specifically for less active individuals.
With the choice of three modes you can start the basic functions and progress to a more dynamic mode as your independence evolves.
Funding of the C-Leg means that amputees have access to one of the most popular MPK on the market.
Now in its fourth incarnation, the C-Leg 4 is the only microprocessor knee in its class that offers stance release, intuitive stance, real time swing and stance phase control, safe reciprocal walking backwards and stumble recovery.
Amputees can enjoy everyday activities without needing to worry about walking down a slope, quickly changing direction or getting splashed by water.
What is Available?
Two hip joint options are available on the MPK policy. The Helix 3D hip has a multi-axial joint structure which helps to compensate pelvic rotation and reduces the amount of energy needed for walking. Alternatively the 7E9 is a monocentric hip joint with hydraulic control of the entire gait cycle and helps extend prosthesis usage time.
There are a variety of different covers available through the funding. Guards & covers offer protection to the entire knee whilst foam cosmetics and functional cosmeses restore natural volume to provide a fuller appearance. These can be made from a choice of material and in an array of colours.
How to apply
If you wish to be fitted with an NHS funded prosthesis you need to contact your local NHS Prosthetist. You will then be assessed individually by your centre’s multi-disciplinary team (MDT). This could include your Prosthetist, Consultant, Physiotherapist and Occupational Therapist. The assessment will aim to gather your full patient history as well as understand the daily activities, needs and challenges you may face as an amputee. A physical examination may also be required. You will need to be able to demonstrate commitment to the rehabilitation programme required for fitting. You will then, along with your care team, outline clear rehabilitation goals you would like to achieve. The goals will be centred around your ability, needs and aspirations and must be able to justify the need for an MPK. Upon the successful completion of the above, your MDT can then organise a trial. Prior to your trial, you may need to be fitted with a new socket. The trial will last four weeks, allowing you to take the prosthesis home and get the feel of what using a C-Leg or Kenevo in daily life is like.
During the trial you may need to attend some physiotherapy sessions, where you will be taught how to get the most out of your MPK. You will also need to prove that you have enough strength and balance to activate the knee as well as sufficient physical fitness to walk outdoors with the prosthesis. You must also be able to master the control, operation and care of an MPK. Your Physiotherapist may also record how you walk on your current prosthesis, compared to your performance during the trial. Referred to as outcome measures, these may include information on your mobility and noticeable changes that have taken place as a result of wearing your MPK. For example, if you have a history of instability documented through falls, stumbles or near misses it is imperative you share this information with your Prosthetist prior to your trial. Studies have found 64% of C-Leg wearers had a reduction in falls compared to wearing a mechanical knee. If the results of your C-Leg trial illustrate a higher level of stability for you, this will be a key finding to support your need for a C-Leg. The easiest way to keep track of this is by keeping a diary of your daily activity. Upon successful trial completion and based on your care team’s recommendations, you may then be eligible to be fitted with an NHS funded MPK.
In order to be eligible for an MPK, patients must meet certain criteria stipulated in the NHS commissioning policy. Firstly, you must fall into at least one of the following categories:
• Single, above knee amputation
• Hip disarticulation amputation
• Knee disarticulation amputation
• Double, above the knee amputation
• Double lower limb amputation with at least one being at above the knee level
At a minimum, you must have the potential to walk with a mechanical knee at a medium to high speed as well as at differing speeds and simultaneously overcome most natural obstacles (mobility level 3 and 4). MPK funding candidates should be unrestricted outdoor walkers and be capable of walking more than 50 yards on level ground. Lower mobility patients may also be considered for funding, if it can be demonstrated through a trial that the use of a microprocessor knee improves their mobility and environmental obstacle negotiation.
If you wish to be considered for an MPK you should visit your local prosthetic centre to check if you are eligible. To be eligible for a MPK you must fit a certain criteria and if successful, a trial will be undertaken to see if it is the right option for you.
If you have had prostheses before and are confident at walking then a C-Leg may be the best option for you. If you are a recent amputee, haven’t had a prostheses before or going through rehabilitation you may fit under the low mobility bracket so a Kenevo maybe a better option. However your prosthetist will be able to advise you which one you would get the most benefit from.
The NHS has a strict criteria for amputees to meet, if you are unsuccessful you may want to look into getting a C-Leg or Kenevo from one of our private clinics. Contact us to find out more.
Sarah's C-Leg story
Sarah Hughes lost her leg almost four years ago after battling sarcoma, a rare form of cancer. Here she explains the story behind her amputation, discovering a new way of life through charity work, and the advanced prosthetic knee that has given her new hope for the future.
Alex's C-Leg 4 story
Biomedical engineering student Alex Dainty lost both his legs just days before Christmas 2012 when he was visiting his family in Galway, Ireland. He was hit by a drunk driver and suffered catastrophic injuries so severe, doctors had to put him in an induced coma for a week. He has spent the five years since the crash rebuilding his life, and thanks to recent NHS funding for advanced prosthetic legs, he is looking forward to a future without limits.
Abdullah's C-leg 4 story
A rare form of cancer and a subsequent above-knee amputation has not stopped Abdullah Khan from being a man of many talents, and the C-Leg 4 has enabled him to improve his general health and wellbeing as he seeks to complete his studies and perfect his hobbies.
Grace's C-Leg 4 story
Whether it’s climbing up the side of the O2 Arena in Greenwich or scaling the heights of a treetop assault course, nothing is too big a challenge for former rugby player Grace Matthews and her C-Leg 4.
Debbie's C-Leg 4 story
Following the amputation of her leg over five years ago, Debbie was determined to return to the active lifestyle she previously enjoyed. Looking for something more suitable than the basic prosthesis she was originally given, she started a campaign to get an advanced prosthetic leg, the C-Leg 4.
Geoff's Kenevo story
Geoff lost his right leg in 2014 in a tragic motorcycle accident whilst on his way home. He has since regained his ability to walk using a new technologically advanced prosthetic leg called Kenevo and is getting back to the life he has enjoyed for so many years.