Name of the Procedure:

Addition, Endoskeletal Knee-Shin System, Single Axis, Manual Lock, Ultra-Light Material (L5811)

Summary

This procedure involves the placement of an endoskeletal knee-shin system with a single-axis manual lock, made from ultra-light material. It is designed to help individuals who have had an amputation above the knee to regain mobility with a prosthetic limb.

Purpose

The procedure aims to provide enhanced mobility and stability for individuals with above-knee amputations. The prosthetic system helps in improving the overall quality of life by enabling more natural movement and reducing the strain on the remaining limb.

Indications

• Above-knee amputation
• Need for increased stability and control in the prosthetic limb
• Desire for a lighter prosthetic option to ease daily activities

Preparation

• Fasting is generally not required.
• Patients might need to ensure their residual limb is clean and free from infection.
• Assessments for prosthetic fitting, including measurements and possibly imaging.

Procedure Description

1. Fitting: A prosthetist will customize the prosthetic limb based on the patient's measurements and individual needs.
2. Adjustment: The single-axis knee-shin system is attached and calibrated to provide the required support.
3. Instruction: The patient is trained on how to use the manual lock mechanism for safety and stability.

Tools and Equipment:

• Measurement tools
• Single-axis knee-shin prosthetic system
• Adjusting/calibration tools

Anesthesia:

• Generally not required, but local anesthesia might be used for adjustments causing discomfort.

Duration

• The initial fitting and adjustment session can take approximately 1 to 2 hours.

Setting

• This procedure is typically performed in a prosthetics and orthotics clinic.

Personnel

• Certified Prosthetist
• Prosthetic Technicians
• Occasionally, a Physician for consultation

Risks and Complications

• Skin irritation or sores at the site of contact
• Manual lock failure (rare)
• Mechanical failure requiring repair or replacement

Benefits

• Enhanced mobility and balance
• Reduced strain on the remaining limb
• Improvement in quality of life
• Lightweight design reduces fatigue

Recovery

• Initial recovery includes learning to effectively use the new system, which may take a few weeks.
• Regular follow-up appointments to monitor fit and function.
• Patients may need to avoid strenuous activities initially.

Alternatives

• Different types of knee-shin systems, such as polycentric or hydraulic models
• Other forms of mobility aids, such as wheelchairs or crutches
• Each alternative varies in terms of complexity, cost, and suitability depending on the patient’s needs.

Patient Experience

• During the fitting, patients might feel some discomfort as adjustments are made.
• After the procedure, initial use may involve some difficulty and require practice for optimal use.

• Pain management will be mostly about preventing and treating sores or discomfort from the prosthetic device.

  Patients are encouraged to communicate any issues with their prosthetist for timely adjustments.