Name of the Procedure:

Residual Limb Support System for Wheelchair (E1020)

Summary

A residual limb support system for a wheelchair is a specially designed component that aids individuals who have undergone an amputation. It provides support and comfort to the residual limb, reducing pressure and enhancing mobility and overall well-being.

Purpose

The purpose of a residual limb support system is to:

• Minimize discomfort and pressure on the residual limb.
• Enhance mobility and independence for wheelchair users.
• Prevent secondary complications such as pressure sores.
• Improve overall quality of life for amputees.

Indications

• Amputees experiencing discomfort or pressure-related issues when using a wheelchair.
• Individuals who require additional support to stabilize and position their residual limb.
• Patients with secondary complications like skin breakdown or sores.

Preparation

• No specific pre-procedure steps are necessary.
• Patients may undergo an assessment to determine the most suitable type of support.
• It’s advisable to consult with a healthcare provider or specialist regarding any existing medical conditions.

Procedure Description

1. Assessment: A healthcare professional evaluates the patient’s needs and the type of residual limb.
2. Selection: Choosing an appropriate support system based on the assessment.
3. Customization: The support system may be customized to fit the individual's specific requirements.
4. Installation: The support system is securely attached to the wheelchair.
5. Education: The patient is educated on how to use and adjust the support system.

Tools, Equipment, or Technology Used

• Various models and types of residual limb supports designed to fit different wheelchairs.
• Adjustable components to ensure comfort and efficacy.

Anesthesia or Sedation

• Not applicable.

Duration

• The entire process, including assessment, customization, and installation, typically takes one to two hours.

Setting

• This procedure is generally conducted in an outpatient clinic, rehabilitation center, or specialized wheelchair services facility.

Personnel

• Occupational therapists.
• Rehabilitation specialists.
• Wheelchair and mobility device technicians.

Risks and Complications

• Mild discomfort during initial use as the patient adapts.
• Potential for skin irritation if the support system is not fitted correctly.
• Risk of device malfunction, which can be managed with regular adjustments and maintenance.

Benefits

• Improved comfort and pressure relief for the residual limb.
• Increased mobility and independence for wheelchair users.
• Prevention of secondary complications such as pressure sores.
• Enhanced overall quality of life and well-being.

Recovery

• Immediate comfort and support upon proper fitting of the system.
• Regular follow-ups may be necessary to ensure the system continues to meet the patient’s needs.
• Routine maintenance and adjustments to the support system might be required.

Alternatives

• Custom-made cushions or pads for the wheelchair.
• Different types of prosthetic limbs for enhanced mobility.
• Rehabilitation exercises to strengthen the remaining limb muscles.

Pros and Cons of Alternatives

• Custom-made Cushions or Pads: Less invasive but may not provide as precise support.
• Prosthetic Limbs: Can offer greater mobility but may require a longer adaptation period.
• Rehabilitation Exercises: Helpful for general strength but may not completely alleviate pressure on the residual limb.

Patient Experience

• Patients might initially feel unusual but generally adapt quickly to the new support system.
• Minimal pain or discomfort during the fitting process.
• Significant improvement in comfort and mobility soon after implementation.
• Ongoing comfort measures include regular follow-ups to ensure optimal fit and performance.