Two years in, depending on the circumstances of how you lost your leg, any revisions, infections, general health, and any ongoing conditions, things are still changing and settling (especially if you’re as active as you say you are).

I’ve been a LAK for 18-years now; had (and tested) many socket systems (including various forms of suction); been on numerous knees (mechanical and MPK); and run through a bunch of feet (+ various associated components). I’m a single father of two girls, work 2-jobs, active in search and rescue, and living life. I mention this because I can relate.

In my experience, it isn’t the company (so much) but the prosthetist who makes the difference. They are the artisans who are supposed to have your best interests at heart. I’ve had two less than ideal prosthetists in 18-years that were more focused on (and this is where company policies vs outstanding prosthetists come in) delivering a final (i.e. billable) device than what you actually need/require.

For me, due to activity level/life/physical size, suction (of any type) was not a good solution. My original (and current) prosthetist worked with me and made a number of test sockets with different attachment systems until we: 1) found the right attachment system, 2) volume from daily activities had stabilized before casting a final.

For me, the pin/lock system utilizing a liner solved everything. I’ve gone from river rafting, to flying, skydiving, general maritime events, being my kids sports coach, etc. - the system has never failed on me.

As for knees (and other components), this is a personal preference thing. Some people love MPKs and others hate them - I’ve had them both, and multiple generations of them as well. My current is an X2, and it is soon to be replaced with an X3 (new socket, and a 1c64 foot).

I understand your frustration about how long you’ve been waiting. I would hope there are mitigating circumstances that play into this. My X2 was damaged at work and has subsequently failed. It has been nearly 2-years (almost to the day) that I will be receiving a new leg. L&I, insurance, doctors, my case getting lost in the government machine, plus other stuff all dragged it out.

You can contact the corporate office of your LPO if they’re not helpful in articulating why there is such a delay. Additionally, sometimes, talking to your insurance company may help. You can always look around and interview other prosthetists if you’re keeping your options open (either in switching - not recommended unless there is obvious gross negligence, or for future services (after this prescription is completed)).

Remember, they can not bill insurance (or anyone) until they deliver a final solution to you and you sign off on it.

I encourage you to research all this for yourself, and follow the best path for you.