Name of the Procedure:

• Common Name(s): Addition to Lower Limb Prosthesis, Above Knee or Knee Disarticulation
• Technical/Medical Term: HCPCS Code L5698 - Silesian Bandage for Prosthetic Device

Summary

This procedure involves adding a Silesian bandage to a prosthetic device for patients who have had an above-the-knee amputation or knee disarticulation. The Silesian bandage serves as a suspension system to hold the prosthesis securely in place.

Purpose

• Medical Conditions Addressed: Above-knee amputation, knee disarticulation
• Goals/Expected Outcomes: To provide better stability and comfort by securely attaching the prosthesis to the residual limb, thus enhancing mobility and the overall functionality of the prosthetic limb.

Indications

• Specific Symptoms/Conditions:
  • Above-knee or knee disarticulation amputation
  • Instability or discomfort with existing prosthetic suspension systems
• Patient Criteria: Patients who are eligible for prosthetic fitting and are physically able to use a Silesian bandage.

Preparation

• Pre-procedure Instructions:
  • Follow your healthcare provider’s specific instructions
  • No specific fasting or medication adjustments typically necessary
• Diagnostic Tests/Assessments:
  • Assessment of the residual limb
  • Measurement and fitting sessions for prosthetic alignment

Procedure Description

• Steps:
  1. The residual limb is carefully measured and assessed.
  2. The Silesian bandage is tailored to fit the residual limb.
  3. The prosthesis is fitted with the Silesian bandage, ensuring it provides adequate suspension and comfort.
  4. Adjustments are made as necessary to optimize fit and functionality.
• Tools/Equipment: Measurement tools, prosthetic device, Silesian bandage
• Anesthesia or Sedation: Not typically required

Duration

• Typical Duration: Approximately 30 minutes to 1 hour, depending on the complexity of the fit and adjustment necessary.

Setting

• Performed At: Prosthetics clinic, rehabilitation center, or outpatient clinic

Personnel

• Healthcare Professionals Involved: Prosthetist, physical therapist, rehabilitation specialist

Risks and Complications

• Common Risks: Mild discomfort or irritation
• Rare Risks: Skin breakdown, allergic reaction to materials
• Possible Complications: Improper fit leading to instability, which can be managed with adjustments.

Benefits

• Expected Benefits: Improved stability, enhanced comfort, better mobility
• Realization Timeframe: Benefits are usually immediate, but optimal fit may take a few adjustments.

Recovery

• Post-Procedure Care: Regular monitoring of the fit and condition of the limb and prosthesis
• Expected Recovery Time: Immediate use, with follow-up appointments for adjustments and maintenance
• Restrictions/Follow-up: No major restrictions; regular check-ins with the prosthetist

Alternatives

• Other Treatment Options: Other types of suspension systems (e.g., suction sockets, pin systems)
• Pros and Cons: Some alternatives may offer different levels of comfort or stability; the ideal choice depends on individual patient needs and preferences.

Patient Experience

• During the Procedure: Typically minimal discomfort, as the process mainly involves fitting and adjustments
• After the Procedure: Some initial adjustment period to get accustomed to the new suspension system; mild soreness or irritation may occur, which can be managed with proper care and follow-up.