Silicone Case Study – Ottobock France

Born with four-limb dysmelia, the patient's journey began from the very first day of his life.

Unable to walk independently at home, he received his first prosthetic fitting at the age of three. Made from foam with metallic reinforcement, the prostheses were heavy, uncomfortable and difficult to use. Determined to find better solutions for their son, the patient's parents travelled to numerous hospitals and rehabilitation centres across the country in search of improved prosthetic options.

As a child, many of the patient's activities were limited by both his condition and the prosthetic technology available at the time.

Around the age of 11, the patient developed a passion for sports. Like many children, he wanted to participate in activities such as football, athletics and tennis. However, maintaining an active lifestyle presented significant challenges. Reimbursement for new prosthetic devices became increasingly complicated, while his foam-and-silicone prostheses frequently broke or tore under the demands of regular sporting activities.

Reflecting on that period, the patient recalls: "We had no other choice. We had to adapt."

And adapt he did. Even when his prostheses were damaged, the patient found ways to keep going, making temporary repairs and modifications whenever necessary. Despite these obstacles, he remained determined to continue participating in sports and never stopped searching for a solution that could provide greater comfort, durability and freedom.

That search eventually brought the patient to Ottobock.

When introduced to our silicone prostheses, the patient was initially hesitant. Moving from his previous foot shape, which could only be worn inside shoes, to a much thinner design that allowed him to walk barefoot represented a significant change.

Looking back on that decision, the patient says: "OK, let's give it a try. Just another experience, another chance to make things better."

Recognising the potential benefits these prostheses could offer, we supported the patient throughout the fitting process, reassuring him about the weight, appearance and performance of the trial device.

Describing the adaptation period, the patient explains: "I needed time to adjust. I had to be patient and listen to my CPO's advice."

Today, the patient says he would never return to his previous fitting. The silicone prostheses have provided him with greater confidence, comfort, freedom and mobility.

Now 39 years old, and a devoted husband and father, the patient continues to adapt to daily life as everyone does. However, the mental burden associated with his mobility is significantly lower. His silicone prostheses support him in everyday activities, from household chores and walking to swimming, travelling and running.

Speaking about the impact on his quality of life, the patient says: "I no longer feel limited. I feel stable. I don't fall anymore, and I'm no longer in pain."

Of course, challenges still exist. The patient's residual limbs continue to react to changes in weather, and occasional injuries can occur when he pushes himself physically, sometimes lifting as much as 300kg. Despite this, he describes the overall impact as life-changing.

Today, putting on his prostheses is as natural as putting on a pair of shoes before heading to work.

When asked how he would describe his current prostheses, the patient responds: "They're the best option on the market. They offer comfort, stability, dynamic movement and great aesthetics."

When asked what advice he would give to others considering silicone prostheses, the patient's message is clear: "Give yourself a chance. You are often your own biggest limitation. Keep pushing forward, don't be afraid to adapt your sports and activities, and build your strength, especially as your body changes over time. Silicone prostheses are reliable."