Prosthetic Pathways and Recovery Considerations for Kostomarov

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Therapist Andrey Zvonkov responded to the news that figure skater Roman Kostomarov is already preparing for prosthetics and was able to sit up with assistance, offering his perspective for the portal MSK1.RU. The veteran doctor noted that Kostomarov’s stump was created after surgery, and while it opens the door to a prosthetic future, the path ahead requires careful and skilled management by the medical team. A cautious but hopeful tone underscored the update for fans and medical observers alike.

Zvonkov emphasized that the stump itself serves as a foundation for prosthetic fitting, and the absence of immediate complications is a positive sign. He stressed that the shape and condition of the residual limb must be supportive of long-term use, with attention paid to how the tissues settle and how the prosthetic load will be distributed in daily activity.

According to the medical professional, surgeons must ensure precise preparation of the residual limb. This involves strategic muscle tightening and layering so that the prosthetic socket rests on a well-padded surface. A key goal is to prevent the scar from causing pressure points that could hamper comfort or function once activity resumes. Zvonkov highlighted that achieving this balance requires experience and refined technique, as every patient presents unique considerations in muscle balance and tissue healing.

The article previously noted that Kostomarov’s first days in intensive care were a focal point for the medical team and for observers hoping for signs of improvement. Those initial assessments help guide subsequent decisions about rehabilitation pace, pain management, and the timing of prosthetic trials that enable more natural movement with reduced energy expenditure.

In Kostomarov’s case, the medical narrative outlines a difficult journey marked by extensive tissue loss affecting both legs, one arm, and several fingers on the other hand following a severe pneumonia complication that led to blood poisoning. Such injuries pose substantial challenges for reconstruction and prosthetic planning, with multidisciplinary collaboration essential to map out functional goals, surgical options, and long-term strategies for mobility and independence.

Physicians involved in the case have underscored the importance of a staged rehabilitation plan. Early stabilization, meticulous wound care, and gradual restoration of strength lay the groundwork for successful prosthetic fitting. As rehabilitation progresses, therapists work with Kostomarov to retrain balance, fine-tune motor control, and adapt to devices that restore a meaningful range of motion while minimizing fatigue. The process illustrates how modern prosthetics, when combined with thoughtful surgical preparation, can open possibilities for renewed activity and personal sovereignty.

While the public follows every update with keen interest, medical briefings remind supporters that recovery is a gradual progression. Even as the team reports progress in bed mobility and basic postural control, the ultimate aim is to enable Kostomarov to perform daily tasks with greater ease and to pursue athletic or recreational activities within safe limits. This pathway depends on ongoing assessments of sensation, skin integrity, and fit, as well as adjustments to the prosthetic design to accommodate evolving strength and swelling patterns.

Experts caution that the road ahead contains uncertainties, yet they voice measured optimism about Kostomarov’s resilience. The case underscores how modern medicine blends surgical precision, rehabilitation science, and patient perseverance to redefine what is possible after severe limb loss. For Kostomarov, every milestone—whether it is increased sitting tolerance, improved circulation, or a better-suited socket—marks progress toward a future that blends athletic identity with enhanced quality of life. The medical team continues to monitor, adjust, and support the skater as he navigates this transformative chapter. Voice and tone from the clinicians reflect a cautious confidence grounded in clinical experience and the evolving landscape of prosthetic care. This longstanding collaboration between surgeon, therapist, and patient represents a roadmap for others facing similar challenges, where patience, technique, and innovation converge to restore function and hope. Attribution: MSK1.RU report and clinical updates from the treating team.

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