hi,
I am a part of amputee clinic team in my hospital. The team consists of physiatrist ( Physical medicine and rehabilitation doctor), physiotherapist, occupational therapist, and prosthetist. We also request services from psychologist and social worker if needed. Preop training usually done in wards and involves training with crutches. Usually the patient is referred to our clinic after amputation. The initial treatment would consist of training with crutches ( preprosthetic training), if not done prior. Once the patient is able to ambulate with crutches, he would be fitted with a temporary prosthesis . Once the wound gets healed, he/she would be fitted with a permanent prosthesis(prosthetic training). The whole system works better with our population. I wonder if this would help in your setting.
Cheers,
Venkat