Name of the Procedure:

Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each (HCPCS Code L5695)

Summary

This procedure involves adding a neoprene or similar material sleeve to a prosthetic limb for the lower extremity above the knee. The sleeve enhances pelvic control and suspension, providing better support and comfort for the prosthetic user.

Purpose

This procedure addresses problems related to prosthetic limb instability, discomfort, and poor fit. The goal is to improve the user's mobility, comfort, and control over the prosthetic limb, thus enhancing their overall quality of life.

Indications

• Patients with above-knee amputations who experience instability or discomfort with their current prosthetic limb.
• Users who require improved pelvic control and suspension for better mobility.
• Patients who have difficulty with the fit or retention of their prosthetic limb.

Preparation

• The patient may need an assessment by a prosthetist to evaluate the current prosthetic fit and determine the need for a sleeve addition.
• No specific pre-procedure preparation such as fasting or medication adjustments is typically required.

Procedure Description

1. The prosthetist will first evaluate the patient's current prosthetic limb and identify the areas that require additional support.
2. The neoprene or equivalent sleeve is custom-fitted to the patient's prosthetic limb.
3. The sleeve is then carefully applied, ensuring it provides the necessary pelvic control and suspension.
4. Adjustments may be made to ensure optimal comfort and functionality.
5. The patient will be instructed on how to properly use and maintain the sleeve.

Tools and equipment: Neoprene or similar material sleeve, fitting tools, and adjustment instruments.

Anesthesia: No anesthesia or sedation is required for this procedure.

Duration

The fitting and application of the sleeve typically take about 1-2 hours.

Setting

This procedure is usually performed in an outpatient clinic or a prosthetics and orthotics facility.

Personnel

• Certified Prosthetist
• Prosthetics Technician (if additional technical support is needed)

Risks and Complications

• Skin irritation or allergic reaction to the neoprene material.
• Initial discomfort as the user adapts to the new sleeve.
• Potential for improper fit, requiring further adjustments.

Benefits

• Improved stability and control of the prosthetic limb.
• Enhanced comfort and reduced irritation.
• Better mobility and overall prosthetic function.
• Benefits can often be realized immediately or within a few days of adaptation.

Recovery

• Immediate post-procedure care includes monitoring for any signs of skin irritation or discomfort.
• The patient may need follow-up appointments to ensure the sleeve is functioning correctly and to make any necessary adjustments.
• Patients typically adapt to the new sleeve within a few days to a week.

Alternatives

• Other types of suspension systems or materials for prosthetic limbs.
• Adjustments or modifications to the existing prosthetic limb without adding a sleeve.
• Pros: Alternatives may provide different levels of comfort or fit.
• Cons: They may not offer the same level of pelvic control and suspension as the neoprene sleeve.

Patient Experience

• During the procedure, the patient will work closely with the prosthetist to ensure a proper fit, so they may need to spend some time standing or walking.
• After the procedure, the patient might experience some discomfort as they adjust to the new sleeve, but pain is generally minimal.
• Proper fitting and patient education are key to ensuring comfort and successful adaptation.