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Three above knee artificial legs standing in a row on a white bench with increasing specification from left to right: one with a simple locking knee and belt, one with a four bar knee, and one with a hydraulic knee and carbon foot. Product photograph. No people. Photograph taken in Karachi, Pakistan, in a clean, modern, well lit private prosthetics clinic with white walls, a polished tiled floor and tidy steel and laminate furniture. Any person shown is Pakistani and well dressed, with the face out of frame. Natural daylight, realistic colours, documentary style. No text, no signage, no logos, no watermarks. 4:3 aspect ratio.
PKR 150,000 to 2,500,000 and above. The knee is why.

Above knee artificial leg price in Karachi

An above knee leg costs more than a below knee leg for two reasons: the socket takes more skilled hours, and there is a knee joint to buy. That knee can cost forty thousand rupees or four million. Choosing it well is most of the decision.

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Written and reviewed by Ummad Shafique Mughal, Consultant Orthotist and Prosthetist. Last reviewed September 2026.

What is the price of an above knee artificial leg in Karachi?

As an indicative 2026 guide, a basic above knee leg in Karachi costs about PKR 150,000 to 280,000, a mid range leg with a four bar knee about PKR 280,000 to 600,000, a leg with an imported hydraulic knee about PKR 600,000 to 1,500,000, and one with a microprocessor knee from about PKR 1,500,000 upward. The knee joint is the largest single factor.

The knee effect

How the choice of knee moves the total

The knee joint as a share of an above knee leg (PKR, indicative, 2026)
Knee chosenKnee aloneTypical complete legKnee as share of total
Manual lock or single axis20,000 to 60,000150,000 to 280,000About 15 to 20 percent
Weight activated safety knee35,000 to 120,000200,000 to 400,000About 20 to 30 percent
Four bar knee, mid range45,000 to 150,000280,000 to 600,000About 20 to 30 percent
Imported four bar with pneumatic swing150,000 to 400,000450,000 to 900,000About 35 to 45 percent
Imported hydraulic knee350,000 to 900,000600,000 to 1,500,000About 50 to 60 percent
Microprocessor knee1,200,000 to 4,000,000 and above1,500,000 to 2,500,000 and aboveAbout 70 percent and more

Each knee type is explained in the knee joints guide.

Worked builds

Three example builds, line by line

Illustrations only. Your own quotation depends on your stump, weight and choices.

Above knee leg: three illustrative builds (PKR, indicative, 2026)
Line itemAffordableMid rangeHigh activity
SocketQuadrilateral, laminated: 95,000Ischial containment, with test socket: 150,000Carbon with flexible inner, two test sockets: 230,000
Interface and suspensionBelt: 8,000Liner with lanyard or pin: 50,000Imported liner with suction: 100,000
Knee jointLocking or single axis: 40,000Four bar: 110,000Imported hydraulic: 600,000
Rotation adapterNot includedNot included80,000
Pylon and adapters25,00030,00045,000
FootSACH: 12,000Multi axis or mid carbon: 90,000Imported carbon: 300,000
Cosmetic coverNot included20,00030,000
Illustrative totalAbout 180,000About 450,000About 1,385,000

Assessment, alignment, the agreed training sessions and first month adjustments are part of the build.

Advice we give our own relatives

Start with the safer, cheaper knee

In the first six months on an above knee leg, you are learning balance and hip control. A sophisticated knee cannot help you until you have those. A simple, stable knee will.

  • Begin with a locking, safety or four bar knee that you trust completely.
  • Put the money saved into the socket, with two test sockets if needed, and into extra training.
  • After six to twelve months, when the first replacement socket is due, review the knee.
  • If you are now walking outdoors, changing pace and managing stairs, a hydraulic knee will reward you.
  • If you are walking mainly at home, keep the simple knee and keep the money.

The one exception: if the family can comfortably fund a microprocessor knee, its stumble protection helps less steady users from the first day.

A simple four bar prosthetic knee joint and a larger imported hydraulic knee joint placed side by side on a white bench, with a small calendar between them open to show twelve blank months. Product photograph. No people. Photograph taken in Karachi, Pakistan, in a clean, modern, well lit private prosthetics clinic with white walls, a polished tiled floor and tidy steel and laminate furniture. Any person shown is Pakistani and well dressed, with the face out of frame. Natural daylight, realistic colours, documentary style. No text, no signage, no logos, no watermarks. 4:3 aspect ratio.
Running costs

Yearly running costs for an above knee leg

  • Liner, if used: one a year. Roughly PKR 20,000 to 60,000 mid range, more for imported.
  • Socks, belts and small items: roughly PKR 5,000 to 15,000.
  • Annual service including the knee: roughly PKR 6,000 to 18,000 for mechanical knees.
  • Knee bushes and bumpers: every one to two years. Roughly PKR 5,000 to 25,000.
  • Foot shell: every one to two years. Roughly PKR 6,000 to 25,000.
  • Replacement socket: once in the first six to eighteen months, then every two to four years. Roughly PKR 90,000 to 220,000.
  • Hydraulic and microprocessor knees: maker service at set intervals, quoted individually.

Over five years, an illustrative mid range leg comes to roughly PKR 450,000 for the leg, two replacement sockets at about 150,000 each, and about 60,000 a year in upkeep: around PKR 1,050,000, or about PKR 17,500 a month.

An above knee artificial leg with its cosmetic cover removed lying on a clean workbench during a yearly service, with a small tray holding new knee bushes, bumpers and bolts beside it. Product photograph. No people. Photograph taken in Karachi, Pakistan, in a clean, modern, well lit private prosthetics clinic with white walls, a polished tiled floor and tidy steel and laminate furniture. Any person shown is Pakistani and well dressed, with the face out of frame. Natural daylight, realistic colours, documentary style. No text, no signage, no logos, no watermarks. 4:3 aspect ratio.
Save safely

Where you can save, and where you must not

Safe places to save

  • a simpler knee for the first year
  • a multi axis foot in place of carbon
  • a belt in place of a liner, if your skin is healthy and you tolerate it
  • leaving the cosmetic cover and rotation adapter for later
  • reusing a sound knee or foot from a previous leg

Never save on

  • the test socket. Above the knee, often two.
  • socket time. The brim is where comfort is decided.
  • tested, weight rated adapters
  • training. An untrained above knee user falls.
  • the honesty of the parts list. Insist on maker and model.
Questions

Above knee price questions

Ask your own question on WhatsApp

Why is an above knee leg so much more than a below knee leg?

The socket is larger and needs more fitting time, often two test sockets, and there is a knee joint to buy. Training also takes roughly twice as many sessions.

Is a PKR 200,000 above knee leg any good?

It can be a sound, safe leg for an older or home based walker: laminated socket, locking or safety knee, SACH foot. It will feel heavier and look less natural in walking than a dearer leg, and it will keep you upright.

Are microprocessor knees worth the money?

For users who can fund them and have service access, the evidence for fewer falls is good. For most families in Pakistan the same money does more good spent on a fine socket, a good mechanical knee and thorough training.

Can my son abroad buy the knee there and send it?

Speak to us before he does. The knee must suit your weight, stump length and adapter type, warranty usually applies only in the country of purchase, and customs can be slow. Sometimes it helps. Often it does not.

Do you offer used knees?

If a reused part is ever offered, it will be declared as used, inspected, and priced as used. It will never be presented as new.

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