Technical note: An economical cosmetic covering for preparatory prostheses

Preparatory lower-limb prostheses have a poor appearance because they lack a cosmetic covering. Poor cosmesis may significantly impede an individualĝ€™s adjustment to loss of a limb, impair the patientĝ€™s acceptance of the prosthesis, and thus affect functional recovery. Polyethylene foam tubing may be used as an inexpensive, lightweight cosmetic covering. The tubing can be easily applied to the endoskeletal pylon to approximate the size and shape of the anatomical leg. Polyethylene foam tubing is commonly used as pipe insulation and is available at most plumbing supply stores or by mail order. This simple technique improves the appearance of preparatory prostheses and is appreciated by patients. Based on the findings of previous research on prosthesis satisfaction, body image, and psychological well-being, a cosmetic covering preparatory prosthesis may even improve an amputeeĝ€™s acceptance of the prosthesis and facilitate adjustment to limb loss.