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Liam Garcia
Liam Garcia

Protesis Low Cost


The center is in Ecuador approximately 2 1/2 hours north of Quito on the Pan American Highway.The project, now going into its eleventh year, has an objective to provide low-cost and high-quality prostheses and other rehab devices. Prótesis Imbabura fabricates and fits devices, working in conjunction with Fundación Jen Lee to direct donations of prosthetic components to those who need them.




Protesis low cost


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For students, we request that students make a small donation ($500/month) for the opportunity to work and learn at the clinic and for the supervision we can provide you. This is a valuable contribution that allows the clinic to continue to provide for the neediest cases at very low cost or no cost. For example, a child from a family without resources can receive a below-knee prosthesis at a cost of $250.


Background: There is an increasing number of children with traumatic and congenital hand amputations or reductions. Children's prosthetic needs are complex due to their small size, constant growth, and psychosocial development. Families' financial resources play a crucial role in the prescription of prostheses for their children, especially when private insurance and public funding are insufficient. Electric-powered (i.e., myoelectric) and body-powered (i.e., mechanical) devices have been developed to accommodate children's needs, but the cost of maintenance and replacement represents an obstacle for many families. Due to the complexity and high cost of these prosthetic hands, they are not accessible to children from low-income, uninsured families or to children from developing countries. Advancements in computer-aided design (CAD) programs, additive manufacturing, and image editing software offer the possibility of designing, printing, and fitting prosthetic hands devices at a distance and at very low cost. The purpose of this preliminary investigation was to describe a low-cost three-dimensional (3D)-printed prosthetic hand for children with upper-limb reductions and to propose a prosthesis fitting methodology that can be performed at a distance.


Conclusions: This investigation describes a low-cost 3D-printed prosthetic hand for children and proposes a distance fitting procedure. The Cyborg Beast prosthetic hand and the proposed distance-fitting procedures may represent a possible low-cost alternative for children in developing countries and those who have limited access to health care providers. Further studies should examine the functionality, validity, durability, benefits, and rejection rate of this type of low-cost 3D-printed prosthetic device.


Prótesis Imbabura is located in Ibarra, Ecuador. Prótesis Imbabura was born out of a former foundation, when the staff and director decided that the best path to sustainability was to form a small enterprise providing fabrication of rehab devices. Fundación Jen Lee supports patients by donating the needed components directly to the patients. Prótesis Imbabura is then able to charge only for the cost of fabrication, which is about 10-15% of the typical cost of prosthetics. Generous contributions of prosthetic goods come to Fundación Jen Lee from individuals and corporations worldwide. Patients pay for the fabrication, with support from donors or agencies when needed. Finally, international and Ecuadoran volunteers give generously of their time and talents to consult, teach, and collaborate with students and with the full-time staff at the clinic.


The key to keeping rehab devices affordable is to utilize recycled materials and components when appropriate, to use low-cost prosthetic components that can be purchased for a fraction of the cost of typical components, and to fabricate items whenever possible in-country. We work closely with Promovilidad in Quito where affordable mobility devices are fabricated. We use recycled materials for the majority of seating and standing devices.


Our low costs mean that prosthetics are affordable for the majority of our patients. For the others, we look to organizations within Ecuador to assist us to provide for their citizens, as well as to international donors.


Background: The elevated prevalence of osteoarthritis in Western countries, the high costs of hip and knee arthroplasty, and the wide variations in the clinical practice have generated considerable interest in comparing the associated costs before and after surgery.


Methods: A prospective multi-center study was performed in 15 hospitals from three Spanish regions. Relationships between the independent variables and the costs of hospital stay and postdischarge follow-up were analyzed by using multilevel models in which the "hospital" variable was used to group cases. Independent variables were: age, sex, body mass index, preoperative quality of life (SF-12, EQ-5 and Womac questionnaires), surgery (hip/knee), Charlson Index, general and local complications, number of beds and economic-institutional dependency of the hospital, the autonomous region to which it belongs, and the presence of a caregiver.


Results: The cost of hospital stay, excluding the cost of the prosthesis, was 4,734 Euros, and the post-discharge cost was 554 Euros. With regard to hospital stay costs, the variance among hospitals explained 44-46% of the total variance among the patients. With regard to the post-discharge costs, the variability among hospitals explained 7-9% of the variance among the patients.


Conclusions: There is considerable potential for reducing the hospital stay costs of these patients, given that more than 44% of the observed variability was not determined by the clinical conditions of the patients but rather by the behavior of the hospitals.


antecedentes: la alta prevalencia de artrosis en los países occidentales, el elevado costo de las intervenciones de artroplastia de cadera y rodilla y las amplias variaciones en la práctica médica generan gran interés por comparar los costos asociados antes y después de la cirugía. Objetivo: conocer el costo de las intervenciones de reemplazo total de cadera y rodilla durante la estancia hospitalaria y al año de seguimiento posterior al alta. material y métodos: estudio multicéntrico y prospectivo efectuado en 15 hospitales de tres comunidades autónomas. La relación entre las variables independientes con el costo de la estancia y costo post-alta, se analizó con modelos multinivel y para agrupar los casos se utilizó la variable "hospital." Las variables independientes fueron: edad, sexo, índice de masa corporal, calidad de vida prequirúrgica (cuestionarios ED-5D, SF-12 y Womac), intervención (cadera-rodilla), índice Charlson, complicaciones, número de camas y dependencia económico-institucional del hospital, comunidad autó-noma y presencia de cuidador. Resultados: el costo promedio por paciente, sin incluir el costo de la prótesis, fue de 4,734 Euros 2,136 y el costo del seguimiento post alta de 554 Euros 509. Si se incluye el costo de la prótesis, al final del año el costo total asciende a 7,645 Euros 2,248. Conclusiones: existe un margen considerable en la reducción de los costos de estancia; más de 44% de la variabilidad observada no está determinada por las condiciones clínicas de los pacientes sino por el comportamiento de los centros hospitalarios.


Keywords: Hip prosthesis; alta del paciente; análisis multinivel; artroplastia de reemplazo; cirugía; costos; costs and cost analysis; economía de la salud; health economics; knee prosthesis; multilevel analysis; patient discharge; prótesis de cadera; prótesis de rodilla; replacement arthroplasty; surgery.


At Hanger Clinic, we believe in empowering you with the financial counseling and resources needed to help you make the right decisions about your care, and are committed to making the billing and insurance processes as straightforward as possible. As such, we will provide you with information about the insurance verification process, an estimate of costs associated with services, details on your financial responsibility, and options for payment prior to the receipt of service, when applicable.


P.O.C.C. was created to save surplus usable P&O goods from being sent to landfills while innumerable individuals around the world are in need of prostheses and orthoses. P.O.C.C. provides individuals, P&O facilities, manufacturers, and distributors a clearinghouse that enables them to make tax deductible donations of new and gently used prosthetic goods and new orthotic goods. These donations, in turn, afford non-governmental organizations (NGOs), P&O practitioners, developing world P&O schools, developing world P&O facilities and researchers access to these badly needed and often costly goods.


It is also recommended to check with local prosthetist offices to see if the prosthetic can be disassembled. If disassembled, prosthetics can often be shipped in UPS flat-rate boxes which can substantially lower shipping costs.


Many patients require preliminary treatments, such as a bone graft or gum disease therapy, before they can receive dental implants in Torrington. Each of these services comes with its own cost. The implant placement surgery incurs a separate fee, which depends on how many implants we are placing and the type of sedation used. Since we perform the surgery in-house, you will not have to worry about dealing with the pricing policies of an outside practice.


Logically, a single dental implant and its accompanying crown cost less than full mouth reconstruction. Similarly, a full implant denture supported by six or more implants may cost more than one that requires only four implants for support. Also, keep in mind that there are different implant brands, manufacturers, and types of implants, all of which can have a bearing on price. We strive to use only the highest-quality materials in our office.


Dental implants have the potential to last a lifetime. In fact, their longevity may make them a better long-term monetary value than treatments that have a lower upfront cost but that need to be replaced every few years, such as traditional dentures. Plus, because dental implants can prevent a number of oral health problems, such as gum sores from dentures, they can spare you from having to spend money on various restorative treatments and remedies.


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