1. Amputation claims trends & solutions
Mark Burton & Stephen Foster
1 February 2018

2. Introduction

3. Contents Introduction Lower limb tech Upper limb tech Osseointegration
Legal review
Claims inflation
Tactical rehabilitation management
Conclusions

4. Lower limb TECH

5. Lower Limb Prosthetics
Rapid developments in the industry
The past - mechanical limbs…..
The present – hydraulic microprocessor limbs

6. Current Products on the Market
Lower limb above knee amputation
Genium X3 Genium (non-waterproof) Life cycle – 6 years

7. Current Products on the Market
Lower limb above knee amputation
C-Leg 4 Life cycle 6 years

8. Current Products on the Market
Lower limb below knee amputation
Empower foot Life cycle 6 years

9. Current Products on the Market
Lower limb below knee amputation
Meridium ankle / foot prosthesis Life cycle 6 years

10. Current Products on the Market
Lower limb below knee amputation
Triton ankle / foot prosthesis Life cycle 6 years

11. Current Products on the Market
Through Hip amputation
Helix hip prosthesis Life cycle 6 years

12. Upper limb tECH

13. Basic prosthetics Passive arm cosmesis What is it? Pros & cons
Body-powered prosthesis

14. Advanced prosthetics Myoelectric prosthesis What is it? Pros & cons
TMR (Targeted Muscle
Reinnervation)

15. osseointegration

16. Osseointegration
What is it?
Process
Suitability
Rehab

17. Osseointegration
Benefits
Drawbacks
Costs
The future

18. Legal review

19. Issues
Compensation principle vs reasonable need

20. Approach
Miller v Imperial College Healthcare NHS Trust (2014)

21. Strategies Liability & con neg Settlement timing Experts Prosthetics
Inter-dependent losses
Synchronise
Future chances
PPOs

22. Claims inflation

23. Case study Super-inflation contingency
Adverse impact on exams & career
London property model

24. Tactical rehabilitation management

25. Problems
Fait accompli
Case manager
Rehab Code

26. Solutions Alternative rehab models Trade your funding
Agree ground rules
Second opinions

27. conclusions