Name of the Procedure

Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) - HCPCS Code: L5790

Common Names: Above-knee prosthetic, ultra-lightweight artificial limb. Medical Terms: Exoskeletal above-knee prosthetic addition.

Summary

This procedure involves adding an ultra-light exoskeletal system to a prosthetic limb for patients with above-knee amputations. The prosthetic addition uses advanced materials such as titanium and carbon fiber to create a lightweight yet robust limb.

Purpose

The purpose of this addition is to enhance the mobility, comfort, and functionality of individuals with above-knee amputations. By using ultra-light materials, the procedure aims to reduce the physical burden on the user and improve their overall quality of life.

Indications

• Above-knee amputation due to trauma, disease, or congenital condition.
• Candidate for prosthesis fitting.
• Desire for a lightweight and durable artificial limb.
• Adequate residual limb health and strength for prosthetic use.

Preparation

• No specific fasting or medication adjustments required.
• Pre-procedure assessment of the residual limb.
• Measurement and fitting session for the prosthetic.

Procedure Description

1. Assessment: The prosthetist evaluates the residual limb and overall health.
2. Fitting: Custom measurements are taken to ensure a perfect fit.
3. Design and Fabrication: Using ultra-light materials like titanium and carbon fiber, the prosthetic is designed and constructed.
4. Attachment: The new exoskeletal system is attached to the existing prosthetic or directly fitted to the patient.
5. Adjustment: Fine-tuning for optimal comfort and functionality.

Tools/Equipment: Measurement tools, CAD software for design, materials (titanium, carbon fiber), fitting tools.

Anesthesia: None required, as this is a non-invasive procedure.

Duration

The fitting and adjustment process typically takes a few hours over multiple sessions.

Setting

Performed in an outpatient clinic or specialized prosthetic center.

Personnel

• Prosthetist
• Orthopedic specialist (if needed)
• Rehabilitation therapists

Risks and Complications

• Minor skin irritation or pressure sores at the residual limb.
• Adjustment issues requiring additional visits.
• Rare risk of material failure or allergic reaction to materials.

Benefits

• Improved mobility and functionality.
• Enhanced comfort due to lightweight materials.
• Increased durability and longevity of the prosthetic limb.
• Potential for improved energy efficiency and reduced fatigue.

Recovery

• Minimal to no recovery time needed.
• Patients may require some initial adjustment period to get used to the new limb.
• Regular follow-up appointments for adjustments.

Alternatives

• Standard weight prosthetic limbs.
• Endoskeletal prosthetic systems.
• Use of different materials for prosthetics like aluminum or plastics.

Pros and Cons:

• Standard weight prosthetics: More affordable but heavier.
• Endoskeletal systems: More adjustable but may not be as durable.
• Alternative materials: Less expensive but potentially less durable and comfortable.

Patient Experience

Patients may initially feel a difference in weight and balance with the ultra-light prosthetic. Some adjustment time is needed to get accustomed to the new limb. Pain management and comfort measures include regular follow-ups for fit adjustments and proactive handling of any skin issues. Overall, the goal is to improve the patient’s mobility and daily comfort.

This detailed outline should provide a comprehensive overview of the procedure for potential patients and medical professionals alike.