Name of the Procedure:

Addition to Lower Extremity, Socket Insert, Symes Commonly referred to as a "Symes socket insert," this medical procedure may use materials such as Kemblo, Pelite, Aliplast, or Plastazote.

Summary

This procedure involves the addition of a specifically designed insert to the socket of a lower limb prosthesis, improving comfort and functionality for individuals with a Symes amputation.

Purpose

The purpose of the procedure is to enhance prosthetic fit and comfort for individuals with a Symes amputation. The primary goals include reducing pressure points, improving weight distribution, and enhancing overall limb functionality.

Indications

This procedure is indicated for patients who have undergone a Symes amputation and experience discomfort, instability, or poor fit with their existing prosthesis. It is suitable for individuals who have healed sufficiently post-amputation and have stabilized residual limb volume.

Preparation

• Fasting is generally not required.
• Patients should inform their healthcare provider about any medications they are taking.
• A thorough evaluation of the residual limb will be conducted, including measurements and possibly imaging studies to ensure accurate fit.

Procedure Description

1. Assessment and Measurement: The prosthetist will assess the residual limb and take precise measurements to create a custom insert.
2. Fabrication: Using materials such as Kemblo, Pelite, Aliplast, or Plastazote, the insert is meticulously crafted to match the contour of the residual limb.
3. Fitting: The socket insert is placed inside the prosthetic socket and adjustments are made to ensure an optimal fit.
4. Final Adjustment: The patient tests the prosthesis with the new insert, and any necessary modifications are completed.

Tools and Equipment:

• Measurement tools
• Prosthetic materials (Kemblo, Pelite, Aliplast, Plastazote)
• Adjustment tools

Anesthesia or sedation is typically not required for this procedure.

Duration

The procedure usually takes between 1 to 2 hours, including the assessment, fitting, and adjustments.

Setting

This procedure is typically performed in an outpatient clinic or a specialized prosthetics facility.

Personnel

• Certified Prosthetist
• Prosthetic Technician

Risks and Complications

• Potential for discomfort if fit is not perfect
• Skin irritation or pressure sores from the new insert
• Rarely, allergic reactions to any of the materials used

Benefits

• Improved prosthetic fit
• Increased comfort and reduced pain
• Enhanced stability and mobility
• Benefits can be realized immediately upon successful fitting

Recovery

• Patients can generally resume normal activities shortly after the fitting.
• Follow-up appointments may be necessary to make further adjustments.
• Patients should monitor the residual limb for any signs of irritation and report these to their prosthetist.

Alternatives

• Alternative forms of socket modifications
• Different types of prosthetic sockets
• Orthotic treatments paired with existing prosthetics

Pros and Cons of Alternatives:

• Alternative sockets may offer different benefits in terms of fit and comfort.
• Orthotic treatments may provide temporary relief but may not address the underlying prosthetic fit issues.

Patient Experience

During the procedure, the patient may feel mild discomfort during the fitting process. Post-procedure, there may be an adjustment period as the patient gets used to the new insert. Pain management, if needed, can be handled with over-the-counter pain relievers and advice from the prosthetist.