There are other benefits of this type of device, but the physiological impact was more important than the physical benefit. It was not for a few weeks, when this IPOP became too large, that the effect of the amputation became serious. With the IPOP on, I felt as if there was hope; without it, I felt disabled.
There are many reasons for surgeons to use the IPOP; One major reason is to control the swelling. This will help the stump to shrink and lead to a faster recovery. Another reason is protection. By the stump being covered, there is less of a chance for some type of injury. The day I was cast for my first leg, I fell out of a wheel chair and hit the end of my stump. I received the leg but never was able to walk on it because it did not fit. I had swelling for the fall and no amount of effort allowed me to get up on that leg. Several weeks went by before a decision was made to make another leg. Then I walked. As I stated before, this crude IPOP was a wonderful thing but was bulky and heavy. Today's IPOP's are not only lighter, but to some extent recyclable, thus can save the amputee money.
Some other advantages are: prevention of contractures and loss of muscle strength, tolerance to weight bearing, speeding up the training and adjustment period, and the reduction of time spent in the hospital. It should be noted here that not all amputees are candidates for the IPOP. There is person who for medical reasons can and should not wear this type of device. However, if physical health allows, this type of device is indicated and should be part of the healing process.
Damage to the wound site can be a serious problem with the IPOP, If too much weight is applied before the healing process is completed, the IPOP can cause harm. Patients who are unwilling or unable to control the weight bearing should not use this device. Good followup care is essential to the recovery if this device is used and the Rehab Team should check the IPOP on a daily basis to ensure proper use. As with any medical device, abuse can cause more problems. There are several common designs for the IPOP, plaster, removable rigid dressing, and plastic IPOP. The doctor and prosthetist should choose which type of device is best for each amputee.
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