Name of the Procedure:

• Common Name(s): Above knee prosthetic fitting, knee disarticulation ischial level socket
• Technical/Medical Term: L5590 - Preparatory above knee prosthetic with ischial level socket, non-alignable system, pylon without cover, SACH foot, laminated socket molded to model

Summary

This procedure involves fitting a prosthetic leg for patients who have undergone an above-knee amputation at the knee disarticulation or ischial level. The prosthesis includes a laminated socket molded to the patient's residual limb, a non-alignable system pylon, and a SACH (Solid Ankle Cushion Heel) foot.

Purpose

The primary goal of this procedure is to provide mobility and functionality to patients with above-knee amputations. This procedure aims to restore the ability to walk and perform daily activities, thus improving the patient's quality of life.

Indications

• Patients who have had an above-knee amputation.
• Individuals recovering from knee disarticulation surgery.
• Patients requiring a preparatory prosthesis to evaluate fit and function before a definitive prosthetic device is provided.

Preparation

• The patient may need to undergo pre-prosthetic physical therapy and conditioning to prepare the residual limb.
• Measurements and molds of the residual limb are taken.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. Initial Consultation: A prosthetist evaluates the patient's residual limb and discusses goals and expectations.
2. Casting and Molding: A mold of the residual limb is taken to create a custom laminated socket.
3. Fabrication: The prosthesis is assembled using the laminated socket, non-alignable system pylon, and SACH foot.
4. Fitting: The prosthetist fits the prosthesis to the patient, making any necessary adjustments for comfort and functionality.
5. Training: The patient receives training on how to use the prosthesis, including walking and other movements.

Tools and Equipment:

• Casting materials for molds
• Laminated socket components
• Non-alignable pylon

• SACH foot

  Anesthesia: Not applicable.

Duration

The entire fitting process, including consultations, casting, and adjustments, may take several weeks. Individual fitting sessions typically last 1-2 hours.

Setting

This procedure is typically performed in a prosthetics and orthotics clinic.

Personnel

• Certified Prosthetist
• Physical Therapist (for rehabilitation and training)
• Support Staff

Risks and Complications

• Common Risks: Skin irritation, pressure sores, discomfort or pain.
• Rare Risks: Improper fitting leading to neural or vascular compromise.
• Management: Frequent follow-ups to adjust the fit and mitigate any issues.

Benefits

• Improved mobility and independence.
• Enhanced ability to perform daily activities.
• Positive impact on psychological well-being and quality of life. Benefits can typically be realized soon after successful fitting and acclimation.

Recovery

• Post-procedure Care: Regular follow-ups with the prosthetist for adjustments.
• Expected Recovery Time: Varies; initial adjustment period may last a few weeks.
• Restrictions: There might be some limitations on vigorous activities initially.
• Follow-up: Scheduled to monitor fit and function and make any necessary modifications.

Alternatives

• Other Options: Wheelchairs, crutches, or various types of prosthetic devices.
• Pros and Cons: Non-prosthetic options may limit mobility; other prosthetics might be considered based on patient needs and preferences.

Patient Experience

During the fitting process, the patient may experience some initial discomfort or irritation as adjustments are made.

• Pain Management: Ensuring proper fit and making timely adjustments can manage discomfort.
• Comfort Measures: The prosthetist will work closely with the patient to ensure comfort and usability.

This markdown styled text provides an overview that is understandable for both healthcare providers and patients considering or undergoing the procedure for an above-knee prosthetic fitting.