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
- Fitting: A prosthetist will customize the prosthetic limb based on the patient's measurements and individual needs.
- Adjustment: The single-axis knee-shin system is attached and calibrated to provide the required support.
- 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.