Name of the Procedure:

Addition to Lower Extremity, Above Knee or Knee Disarticulation, Pelvic Joint (L5696)

Summary

This procedure involves the addition or attachment of a prosthetic joint to the pelvic area for a patient who has had an amputation above the knee or at the knee joint. This advanced prosthetic technique aims to enhance mobility and functionality.

Purpose

• Medical Conditions: Designed for patients who have undergone an above-knee amputation or knee disarticulation.
• Goals: To improve the patient's ability to walk, maintain balance, and perform daily activities, thereby enhancing their overall quality of life.

Indications

• Indications: Loss of lower limb above the knee or at the knee joint due to trauma, disease (such as cancer or severe infection), or congenital conditions.
• Criteria: Suitable for individuals who are medically stable and have sufficient strength and motivation to undergo rehabilitation with a prosthetic limb.

Preparation

• Instructions: Patients may be advised to fast for a certain period and adjust their current medications based on their physician's recommendations.
• Assessments: Pre-procedure assessments may include imaging studies, blood tests, and a thorough physical examination to ensure the patient is a good candidate for the procedure.

Procedure Description

1. Anesthesia: The patient typically receives regional or general anesthesia.
2. Incision and Preparation: The surgical site is cleaned, and an incision is made if necessary.
3. Prosthetic Attachment: The pelvic joint prosthesis is attached to the residual limb, ensuring a secure and stable fit.
4. Adjustment and Testing: The prosthetic joint is adjusted for optimal alignment and comfort.
5. Closure: The surgical site is closed, and a sterile dressing is applied.

Duration

The procedure usually takes around 2-4 hours, though it may vary depending on the patient's specific needs and the complexity of the case.

Setting

Typically performed in a hospital or an outpatient surgical center equipped for orthopedic procedures.

Personnel

• Surgeons: Typically an orthopedic surgeon with experience in limb prosthetics.
• Nurses: Assist with the procedure and provide perioperative care.
• Anesthesiologists: Administer anesthesia and monitor the patient’s vital signs.

Risks and Complications

• Common Risks: Infection, bleeding, or blood clots.
• Rare Risks: Prosthetic joint dislocation, nerve damage, and complications from anesthesia.
• Management: Prompt medical intervention to address any complications.

Benefits

• Mobility: Improved ability to walk and perform daily activities.
• Balance: Enhanced stability and support.
• Quality of Life: Increased independence and participation in social and recreational activities.
• Timeline: Benefits may be noticed within a few weeks to months, depending on rehabilitation progress.

Recovery

• Post-Procedure Care: Wound care instructions, pain management, and activity restrictions.
• Recovery Time: Varies; most patients can start using the prosthetic limb within a few weeks but full recovery and adaptation may take several months.
• Follow-Up: Regular appointments for adjustments and rehabilitation therapy.

Alternatives

• Prosthetic Solutions: Other types of prosthetic limbs or joints.
• Pros and Cons: Each option varies in terms of effectiveness, ease of use, and cost.

Patient Experience

• During the Procedure: Typically, patients under anesthesia will not feel pain.
• After the Procedure: Some discomfort or pain, which can be managed with medication.
• Rehabilitation: Involves a period of physical therapy to adapt to the new prosthesis and regain mobility.
• Comfort Measures: Pain management includes medications and supportive care to enhance the healing process.