If amputation is the choice, certain preoperative measures can help to optimize the recovery. After the operation, other steps for all patients are helpful to prepare for the use of a leg prosthesis. Preoperative preparation for amputation Before the operation, should the surgeon who prosthodontist and the physiotherapist discuss plans and goals with the patient. Before surgery, patients, if possible speak with another patient who has had an amputation. A physical therapist explains the exercises that can improve muscle strength and flexibility before and after surgery. The stronger and more flexible, the patients are, the more they can do with or without her prosthesis. Some exercises are also dependent on the type of amputation. All patients must complete the exercises to avoid that there is edema in the remaining limb and that contract the tissue in the remaining limb, which can impede the range of motion of the joint and limit the prosthesis use. Postoperative preparation for the use of a prosthesis after the operation must heal the remaining limb before a prosthesis can be worn, and the edema in the limb must be gone before a prosthesis for long-term use can be mounted. To reduce the edema, patients learn to wear an elastic stocking or elastic bandage over the remaining limb. Wearing a bandage or an elastic sock also helps to shape the remaining limb and to avoid irregularities which may impede the adjustment of the shaft. This improves blood circulation and makes phantom pain (pain that seem to come from the amputated limb) less likely. Some time after the operation is carried an elastic sock, an elastic bandage or both when the prosthesis is filed. (A feeling that the amputated limb is still there) the use of Shrinkern can help to control postoperative edema and to reduce the phantom sensation. How long this association must be worn varies from patient to patient. Temporary leg prosthesis have disappeared until the edema, a transient (temporary) prosthesis can be used. Since this prosthesis is lightweight and easy to use, some experts think that it will help the patients to deal more quickly with a prosthesis. Later this provisional prosthesis is replaced with a permanent prosthesis, which has higher quality components. In this approach, however, the patient must learn two times, how to deal with the respective prostheses. An alternative approach is to use a prosthesis with durable components (eg. As knee, foot, hand), but with a temporary shaft and frame. As some parts remain unchanged, this approach may enable the patient to adapt quickly to the new parts. In any case, the first shaft and frame must almost always be replaced within 4-6 months after the amputation, since the remaining limb is verändert.Lernen in shape and size, such a prosthesis is used when the prosthesis is delivered, patients will taught the basics of use: As the prosthesis is applied, as they must be removed How to go How to care for the skin of the remaining limb and the prosthesis with her the training will continue normally, preferably by a team of specialists. A physical therapist provides a training program for walking on, as well as exercises to improve strength, flexibility and stamina. An occupational therapist teaches the necessary skills to cope with everyday activities. Patients with lower limb amputations learn advanced-ambulatory (z. B. climbing stairs, walking uphill and downhill go, walking on uneven surfaces). The rehabilitation of patients with amputation of the upper extremities is coordinated by an occupational therapist or a physical therapist in collaboration with the prosthodontist. The rehabilitation consists of specially developed exercises that strengthen the muscles and the flexibility of the remaining limbs, as well as a training for dealing with the prosthesis. Counseling or psychotherapy can help if patients have prolonged difficulty in adjusting to their new living conditions.