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ProstheticLeg.pkProsthetic leg clinic, Karachi

Knee and hip disarticulation prosthesis in Karachi

An amputation through the knee joint or at the hip needs a socket designed for that level, not an ordinary leg made longer or shorter. We make both, and we tell you plainly how much walking each one usually allows.

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Written by the ProstheticLeg.pk clinical teamUpdated October 2026General information, not a diagnosis

Through the knee: a long limb with special needs

In a knee disarticulation the surgeon removes the leg at the knee joint, leaving the whole thigh bone. The end of the bone is broad and often strong enough to take your weight, which many people find more comfortable than the sitting-bone support of an above-knee socket. The long bone also gives you good control of the leg.

Two things make it different to fit. The bulb-shaped end means the socket needs a way to get past the widest part, usually a flexible inner liner or a window. And because the thigh is full length, there is little room for the knee joint, so we use low-profile polycentric knees designed for long limbs. Even so, the prosthetic knee sits slightly lower than your own, which you notice mainly when sitting.

Low-profile polycentric knees for a through-knee prosthesis
Knees for long limbs are built short, so the leg stays as close as possible to your own knee height.

At the hip: a socket around the pelvis

A hip disarticulation removes the whole leg at the hip joint. A hemipelvectomy also removes part of the pelvis. For both, the socket is a moulded shell or basket that wraps around the pelvis and carries your weight on the sitting bone and the soft tissue around it. The leg below has three joints: a hip joint at the front of the socket, a knee and a foot.

The leg is set up so that it stays straight when you stand on it, without you having to hold it. You swing it forward by tilting the pelvis. It takes practice, and it is slower than walking on a below-knee leg, but it gives many people their independence back at home.

Prices for both levels

Knee and hip disarticulation prices at our Karachi clinic, 2026
Level and bandRangeWhat is usually inside
Through the knee, affordableRs 170,000 to 320,000End-bearing socket, polycentric knee for long limbs, local foot
Through the knee, mid rangeRs 320,000 to 750,000Low-profile polycentric knee, imported foot, liner with seal
Through the knee, premiumRs 750,000 to 2,500,000+Hydraulic knee for long limbs, carbon foot, carbon socket
Hip, affordableRs 300,000 to 600,000Moulded pelvic socket, locking hip, stable knee, local foot
Hip, mid rangeRs 600,000 to 1,200,000Free-swinging hip joint, polycentric knee, imported foot
Hip, premiumRs 1,200,000 to 3,500,000+Hydraulic hip and knee, carbon foot, lighter frame

Ranges for the complete leg with fitting and training. Your price is fixed after the free assessment.

Through-knee socket with its flexible inner liner partly drawn out
A flexible inner liner gets past the wide end of the limb, then holds firmly.

Parts that matter most at these levels

How fitting works at these levels

  1. 1

    Assessment

    We check the healing, the shape of the limb end or the pelvis, your balance and your general fitness.

  2. 2

    Cast

    A cast of the limb end, or of the pelvis taken while you lie or stand, with marks over the bones that carry weight.

  3. 3

    Test socket

    A clear socket so we can see exactly where your weight sits, and adjust before the final one is made.

  4. 4

    Alignment

    The joints are set so the leg stays straight under you. For hip legs this takes longer and is done in small steps.

  5. 5

    Training

    Balance, stepping, turning and sitting down safely, over more sessions than a below-knee leg needs.

Plaster cast of a pelvis for a hip socket
For a hip leg, the cast is of the pelvis, with marks over the bones that will carry weight.

Questions about these levels

Is a knee disarticulation better than an above-knee amputation?

For walking, often yes. The long thigh bone gives good leverage, and many people can take weight on the end of the limb. The trade-off is that the prosthetic knee sits a little lower than the other knee, which shows when you sit.

Can someone with a hip disarticulation really walk?

Yes, with the right socket and patience. Walking is slower and uses a lot of energy, and most people use a stick or crutches outdoors. Younger, fit patients do best. Many older patients use the leg indoors and a wheelchair for distance, which is a sensible mix.

Why does a hip prosthesis cost so much more?

It has three joints instead of one or two: a hip joint, a knee and an ankle or foot, plus a large moulded socket around the pelvis. Each joint adds cost, and the socket takes longer to make and adjust.

How do I sit with a hip disarticulation prosthesis?

The hip joint unlocks or bends so you can sit. Most people find a firm chair easier than a low sofa. Floor sitting is usually done with the prosthesis off.

Not sure this is the right leg for you?

Send a photo of the stump and a line about your health on WhatsApp. We will tell you honestly what fits, and what it is likely to cost, before you travel or pay anything.

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