Led by Thomas Walsh, Abilities In Motion has been leading the way with Immediate Postoperative Prosthesis (IPOP) procedures since 1995.  Thomas was a pioneer in designing a removable immediate post operative cast or prosthesis. This unique, previously unavailable service and course of treatment has become preferred by doctors for individuals facing below the knee amputation.

After the surgeon has completed their work, our staff provides a removable cast that protects the incision site, reduces swelling, decreases pain and allows the physicians to conduct regular inspections of the residual limb.

In some cases, a temporary prosthesis can be attached to make it possible for some patients walk weeks after surgery.

Below are some quick facts about the procedure followed by an academic article that was published in the Journal of Prosthetics and Orthotics by Abilities In Motion’s own Thomas Walsh. If you have any questions, please contact us live chat (below), by phone:  (513) 245-0253 or by email.


  • Immobilizes wound to improve healing
  • Controls edema
  • Avoids knee flexion contracture
  • Protects the incision from extrinsic trauma
  • Removable for wound inspection

Improved Healing Rate

Studies report that with the use of immediate post operative prosthesis and amputation level selection by xenon clearance, healing approached 100%.

Prior to the use of immediate post operative prosthesis, the primary healing rate ranged from 62% to 75%.

History of Immediate Post Operative Prosthesis

  • IPOP procedure originated in the late 1950’s.
  • Studies report with use of IPOP, prosthetic rehabilitation improved from 64% to 100% for unilateral amputees who had been ambulatory before amputation*.
  • Initially the IPOP was not easily removable, but in 1995 at surgeons requests, Tom Walsh, CPO, LPO, FAAOP designed the removable IPOP.
  • This removable system was published in the Journal of Prosthetics and Orthotics, October 2003, Volume 15, Number 4.


  • Custom fabricated with strategically placed gel pads for pressure distribution.
  • Fiberglass shell protects residual limb in case of a fall
  • Adjustable as limb size decreases.
  • 21 years of successful use.

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3D Printed IPOP

With the use of a smart device and scanning application, Abilities In Motion is now able to scan the patient’s residual limb and fabricate a 3D printed IPOP.  This design is lighter in weight and easier to apply.


Applying the 3D Printed IPOP