Name of the Procedure:

Partial Foot, Shoe Insert with Longitudinal Arch, Toe Filler (L5000)

Summary

This procedure involves creating a custom-made shoe insert that provides support for the arch of the foot and includes a filler for the missing toes. It’s designed to improve comfort and mobility for individuals who have undergone a partial foot amputation.

Purpose

The procedure addresses complications arising from partial foot amputations, such as imbalance and difficulty walking. The main goals are to restore normal gait, alleviate pain, and enhance overall foot functionality.

Indications

• Partial foot amputation affecting the toes and extending toward the arch.
• Difficulty walking or imbalance due to the loss of part of the foot.
• Chronic foot pain resulting from improper support.
• Desire to improve ambulation and quality of life.

Preparation

• No specific fasting or medication adjustments are required.
• A thorough foot examination by a podiatrist or orthopedic specialist.
• A mold or scan of the patient's foot to ensure the shoe insert fits perfectly.

Procedure Description

1. The patient's foot is examined, and measurements are taken.
2. A mold or 3D scan of the foot is created to design the shoe insert.
3. The custom insert is fabricated with materials tailored to provide support and comfort.
4. The insert includes a longitudinal arch support and a toe filler to compensate for the amputated portion.
5. The patient tries the insert, and adjustments are made to ensure an optimal fit.

Duration

The fitting and adjustment process typically takes about 1-2 hours. Creating the custom insert might take several days to a few weeks.

Setting

The procedure is conducted in a podiatrist's office, orthopedic clinic, or a specialized prosthetics and orthotics facility.

Personnel

• Podiatrist or Orthopedic Specialist
• Prosthetist/Orthotist
• Medical Assistants (for support and adjustments)

Risks and Complications

• Discomfort or improper fit initially.
• Potential for skin irritation or pressure sores.
• Need for further adjustments and refinements.

Benefits

• Improved balance and walking ability.
• Pain relief and reduced pressure on the remaining part of the foot.
• Enhanced quality of life and mobility. Benefits are typically noticeable immediately after the fitting but may continue to improve with adjustments.

Recovery

• Minimal recovery time.
• Immediate use of the shoe insert post-fitting.
• Follow-up appointments for any necessary adjustments.
• Patients should monitor for any discomfort or skin issues.

Alternatives

• Off-the-shelf shoe inserts (may not provide as good a fit or support).
• Custom orthotic insoles without toe filler.
• Use of specialized footwear designed for amputees.
• Each alternative has its pros and cons related to comfort, support, and cost.

Patient Experience

Patients may feel some initial discomfort as they get used to the new insert. Proper pain management and gradual breaking-in of the insert can enhance comfort. Most patients experience significant improvements in mobility and pain relief within the first few days to weeks of regular use.