Name of the Procedure:

Heel, SACH Cushion Type (L3450)

Summary

A Heel, SACH (Solid Ankle Cushion Heel) cushion type is a medical procedure involving the use of a specific type of prosthetic heel that helps absorb shock and manage pressure for individuals with lower limb amputations.

Purpose

The SACH cushion heel is designed to help individuals who have undergone lower limb amputations to walk more comfortably. It provides shock absorption and improved stability, which aids in achieving a more natural walking pattern.

Indications

• Lower limb amputation below the knee
• Need for enhanced stability and comfort while walking
• Patients who require improved shock absorption to reduce strain on their residual limb

Preparation

• No special fasting or medication adjustments are generally required.
• A thorough assessment of the patient’s residual limb and lifestyle needs.
• Diagnostic tests may include a detailed fitting session and gait analysis.

Procedure Description

1. Evaluation: The patient is evaluated to ensure the SACH cushion is suitable.
2. Measurement: Accurate measurements of the residual limb to custom-make the prosthetic.
3. Fitting: The prosthetic heel is fitted and adjusted to ensure comfort and effectiveness.
4. Adjustment: Any necessary adjustments are made to ensure proper alignment and functionality.
5. Instruction: The patient is instructed on how to use and maintain the prosthetic device.

Tools, equipment, or technology used:

• Measurement tools
• Prosthetic fitting equipment

Anesthesia or sedation details:

• No anesthesia or sedation is required.

Duration

The entire fitting process typically takes a few hours, but follow-up adjustments might be necessary over a few weeks.

Setting

• Outpatient clinic
• Specialized prosthetic and orthotic centers

Personnel

• Prosthetist
• Physical therapist (for gait training, if necessary)
• Orthopedic specialist (as needed)

Risks and Complications

• Skin irritation or pressure sores
• Improper fit leading to discomfort
• Potential need for frequent adjustments

Benefits

• Improved walking comfort and stability
• Enhanced shock absorption reducing strain on the residual limb
• Better mobility and independence

Recovery

Post-procedure care and instructions:

• Regular check-ups for adjustment
• Proper hygiene of the residual limb
• Adherence to usage guidelines provided by the healthcare team

Expected recovery time:

• Immediate improvement in comfort, with adjustments over a few weeks.

Alternatives

• Other types of prosthetic heels or feet
• Comparatively, SACH heels provide better shock absorption but may be less flexible than dynamic response feet.

Patient Experience

• During the procedure: The patient might feel minor discomfort during the fitting.
• After the procedure: Improved comfort and stability, with initial monitoring and adjustments to ensure optimal function.
• Pain management and comfort measures: Regular follow-ups to address any discomfort and ensure proper fit.