Therapist Yuri Serebryansky discussed the timeline and steps involved in preparing Roman Kostomarov for prosthetic limbs, explaining how each stage leads to functional artificial limbs. His remarks were highlighted on the Popcorn News portal as part of ongoing coverage on Kostomarov’s recovery journey.
Medical teams have already begun work on both legs, with the goal of enabling Kostomarov to stand and move again. The immediate next phase involves extending the same preparation process to the arms, ensuring that every component is properly measured and aligned before any prostheses are fitted.
“This is a preparatory phase. We need to assess the stump size, shape the residual limb, and tailor a prosthesis to fit precisely,” the expert explained. “The initial priority is to prosthetize the legs so Roman can stand. First one leg, then the other.”
Medical professionals emphasize that the ability to stand without constant support could reduce complications associated with prolonged bed rest, including the risk of pressure ulcers and tissue breakdown caused by reduced circulation and immobility.
“The prosthetic plan is staged for now. After the legs are stabilized, attention will turn to the hands, where more intricate, multi-articulating prostheses will be explored,” Serebryansky noted, adding that the overall rehabilitation timeline is estimated to run around four months from the start of prosthetic fitting to the early functional milestones.
In earlier updates, medical spokespeople indicated that Kostomarov’s return to competitive sport remains unlikely, despite the advances in prosthetic technology. The focus, at this stage, is on restoring basic mobility, independence, and daily-function safety, rather than resuming athletic competition. The team has underscored that the rehabilitation path prioritizes quality of life and long-term health outcomes, with careful monitoring to adapt to Kostomarov’s evolving needs as strength and control improve.
From a clinical perspective, the process involves a multidisciplinary approach, combining surgical planning, residual limb assessment, custom socket fabrication, and progressive gait training. Early trials aim to establish a stable, comfortable interface between skin and prosthetic socket, reduce irritation, and optimize weight distribution. Physical therapists work in tandem with engineers to ensure alignment, limb loading, and propulsion mechanics support natural movement patterns as much as possible. The psychological aspect of adapting to prosthetic limbs is acknowledged as well, with counseling and gradual exposure helping Kostomarov acclimate to new sensations and new ways of performing routine activities.
As the rehabilitation progresses, adjustments to socket fit, prosthetic components, and control strategies are expected. Each modification seeks to improve comfort, responsiveness, and energy efficiency, enabling better balance, stance, and mobility on varied surfaces. The medical team stresses that patient feedback is essential; Kostomarov’s experiences, sensations, and preferences guide refinements to equipment and therapy plans. With reliable prosthetic solutions, the aim is to maximize safety, independence, and the potential for meaningful daily activities while maintaining realistic expectations about athletic goals.
Ultimately, the roadmap emphasizes a cautious but steady return to functional independence. While full sports participation may not be on the horizon, the concerted effort focuses on restoring foundational abilities—standing, transferring, walking with assistive devices if needed, and managing activities of daily living with confidence. The collaboration among surgeons, prosthetists, therapists, and Kostomarov himself reflects a comprehensive strategy to leverage modern prosthetics for improved quality of life and personal autonomy over time.