Specialist leg levels, DHA Karachi
Hip and through-knee legs, for the two levels that need the most care
A through-knee stump is long and strong; a hip level amputation leaves no thigh at all. Both need sockets and joints few clinics make often. We plan them slowly, test them carefully and train you until standing feels safe.
- Free assessment
- Extra test socket if needed
- Answered 24/7
Clinically reviewed by Ummad Shafique Mughal, Consultant Orthotist and ProsthetistUpdated 6 October 2026
Two specialist levels
What makes these legs different
In a knee disarticulation the leg is removed through the knee joint, leaving the whole thigh bone. The end can often take weight, which gives good control, but the long stump means the prosthetic knee must be slim so both knees sit level when you sit.
In a hip disarticulation there is no thigh, so the socket wraps around the pelvis and a hip joint, knee and foot hang below it. Through-knee legs start from Rs 170,000 and hip level legs from Rs 300,000.
Planning
Who these legs suit, and when we slow down
Both levels can lead to good walking. Honest goals at the start make the difference.
Usually a good start
- A through-knee stump that takes weightMany people can press on the end of the stump, which makes standing feel secure.
- Good trunk strengthFor hip level legs, a strong back and stomach control the whole leg.
- Patience with trainingThese legs take more practice; families who plan for that see the best results.
- A clear daily goalWalking around the house and out to the car is a realistic and worthwhile aim.
Where we plan more carefully
- Heavy work on uneven groundA hip level leg is slower and uses a lot of energy; crutches may still be needed outdoors.
- Heart or lung problemsWe ask for your doctor's view first, because walking can be tiring.
- Skin grafts or scars at the socket edgeWe may need softer materials and an extra test socket.
Inside the leg
The parts of a hip or through-knee leg
Each part is chosen to keep the leg light enough to swing and stable enough to trust.
Shaped around the end of the thigh bone, often with a flexible inner socket so it slips over the wider knee end.
Made by usFor hip level legs, a socket that holds the pelvis and hip, fastened at the waist.
Made by usLets you sit and swings the leg forward as you walk. Fitted at the front of the socket.
Hip level onlyA slim polycentric knee for through-knee legs; a stable knee for hip level legs.
From about Rs 60,000A stable foot that lands safely; lighter feet make the leg easier to swing.
Light builds walk easierA foam cover so trousers or shalwar hang evenly on both sides.
Optional
Prices for 2026
How these legs are built and what they cost
Indicative ranges for 2026. The written estimate after your assessment lists every part.
| Build | What you get | Indicative price |
|---|---|---|
| Through-knee, local | Our socket with a slim polycentric or mechanical knee and a SACH foot. | Rs 170,000 to 350,000 |
| Hip level, local | Our pelvic socket, a hip joint, a stable knee and a light foot. | Rs 300,000 to 650,000 |
| Imported parts | Hydraulic or microprocessor knees, premium hip joints and carbon feet, at either level. | Rs 650,000 to 3,500,000+ |
Because these joints are rare, imported knees and hip joints are often ordered after the test socket. We tell you the waiting time before you pay. See every level in the price guide.
Your visits
How a hip or through-knee fitting usually runs
Expect more visits than for a below knee leg, especially at hip level.
- First call and photosLevel, date of surgery and how you move today.
Day 1
- Assessment and castPelvis or thigh cast, strength and balance checks.
Week 1
- First test socketStanding in a clear socket with temporary joints.
Week 2
- Second test socketCommon at these levels, so the final socket is right.
Week 3
- Final legJoints aligned for safe standing and sitting.
Week 4
- Training and follow-upBars, frame, then short walks, with regular checks.
Weeks 4 to 8
Hip level users usually keep training for some months. Short daily practice at home matters more than long sessions.
In the workshop
Making a specialist leg
Daily life
Getting about with a hip or through-knee leg
Realistic goals and the right aids make everyday life easier.
Through-knee users may notice one thigh sits slightly further forward; a slim knee keeps the difference small.
Two or three short practice walks a day beat one long, tiring session.
Check the skin at the waist and hip every evening, and wear cotton under the socket in summer.
A frame or crutches outdoors and a wheelchair for long distances are sensible, not a step back.
See your doctor first if
- A wound or scar near the hip or thigh is open or weeping
- There is new redness, heat or swelling
- You feel breathless or get chest pain walking short distances
- You have a fever or feel unwell
- You have had a fall and the stump is painful or bruised
Your doctor's go-ahead comes first; then we plan the fitting at a pace that suits you.
Questions
Hip and through-knee questions
Ask anything else on WhatsApp or call +92 337 8414002, day or night.
How much does a hip level prosthesis cost in Pakistan?
A hip level leg with our pelvic socket and local joints starts from Rs 300,000. With imported hydraulic or microprocessor knees the price can pass Rs 3,500,000. The firm figure comes in writing after the free assessment.
How much does a through-knee leg cost?
From Rs 170,000 with a slim local knee and a SACH foot. Imported slim hydraulic knees raise it, often to Rs 650,000 or more.
Can everyone with a hip amputation walk with a prosthesis?
Not everyone, and we say so honestly. Strength, balance, heart health and motivation all matter. Some people use the leg at home and a wheelchair outside, which is still worthwhile.
Why does a through-knee leg need a special knee?
Because the thigh is full length, a normal knee would sit lower than your other knee when you sit. Slim polycentric knees keep the difference small.
How many visits does a hip or through-knee leg take?
Usually four to seven, including at least one extra test socket. Training continues after the leg is finished.
Can I sit on the floor with a hip level leg?
It is difficult with the leg on. Most users sit on a chair for meals and prayer, or take the leg off when sitting on the floor at home.
Related
Other limbs and help you may need
Talk to the clinic
Plan a hip or through-knee leg with us
These levels need time and honesty. Call or WhatsApp and we will tell you what is realistic before anything is made.