Name of the Procedure:

Partial Foot Prosthesis with Molded Socket, Ankle Height, and Toe Filler (L5010)

Common Names: Partial foot prosthesis, Ankle-height foot prosthesis

Technical Terms: Partial foot, molded socket, ankle-height prosthesis, toe filler prosthesis

Summary

A partial foot prosthesis with a molded socket and toe filler is a custom-made device designed to replace the amputated portion of a foot. It supports the remaining foot structure and helps the patient walk more comfortably and naturally.

Purpose

This prosthesis is used for individuals who have undergone partial foot amputation. The main goals are to:

• Improve mobility and balance
• Enhance walking ability
• Protect the remaining foot structure
• Provide a comfortable and secure fit

Indications

• Partial foot amputation (e.g., as a result of diabetes, vascular disease, trauma)
• Need for improved mobility and balance
• Inadequate function of remaining foot structure

Patient criteria:

• Must have undergone partial foot amputation
• Should be assessed for suitability by a healthcare professional

Preparation

• Detailed evaluation by a prosthetist
• Measurement of the remaining foot and stump
• Possible imaging studies (e.g., X-rays) to determine the precise needs for prosthesis fitting
• Pre-procedure counseling about care and usage

Procedure Description

1. Assessment: A prosthetist evaluates the patient's foot and measures the stump.
2. Casting: A mold or digital scan of the stump and remaining foot is taken to create a custom-fit socket.
3. Fabrication: The prosthesis is constructed based on the mold, including an ankle-height design and a toe filler.
4. Fitting: The patient tries on the prosthesis, and adjustments are made for comfort and functionality.
5. Training: The patient receives guidance on how to use and care for the prosthesis.

Tools/Equipment: Casting materials, digital scanners, prosthesis fabrication materials

Anesthesia: Typically not required

Duration

The entire process, from casting to final fitting, typically spans several appointments over a few weeks.

Setting

Prosthetist's clinic, hospital outpatient department

Personnel

• Prosthetist
• Orthopedic specialist (if needed)
• Rehabilitation specialist (if needed)

Risks and Complications

• Skin irritation or pressure sores
• Improper fit leading to discomfort
• Possible need for adjustments or modifications

Benefits

• Improved mobility and balance
• Enhanced walking ability
• Reduced risk of further injury to the remaining foot
• Greater comfort compared to standard footwear

Recovery

• Gradual adaptation to the prosthesis
• Follow-up appointments for adjustments
• Instructions on skin care and hygiene
• Possible physical therapy to improve mobility

Expected recovery time: Varies per individual, typically a few weeks to get fully accustomed

Alternatives

• Traditional footwear with custom orthotics
• Other types of prosthetic devices (e.g., below-knee prosthesis if further amputation is required)
• Wheelchair or mobility aids

Pros and Cons:

• Orthotics may not provide the same level of support and functionality
• More extensive prosthetics might be necessary based on the level of amputation and mobility needs

Patient Experience

During the initial fitting, patients may experience mild discomfort as they adjust to the new device. Over time, the prosthesis should feel more comfortable and natural. Any pain or irritation should be reported to the healthcare provider for adjustments. Regular follow-up appointments ensure proper fit and function. Pain management measures include wearing appropriate socks and maintaining good skin hygiene.