Name of the Procedure:

Addition, Endoskeletal, Knee-Shin System, Stance Flexion Feature, Adjustable (L5845)

Summary

This procedure involves the addition of an adjustable knee-shin system to a prosthetic limb, which includes a stance flexion feature. This enhancement improves the functionality of the prosthesis by providing better stability and flexibility during movement, particularly while walking or standing.

Purpose

This procedure is designed for individuals who use a lower limb prosthesis. The primary goal is to enhance the user’s mobility and balance by incorporating an adjustable stance flexion feature. This improvement is particularly beneficial for those who need better control and comfort in their daily activities.

Indications

• Patients with lower limb amputations.
• Users of lower extremity prostheses who experience instability or discomfort.
• Individuals requiring better knee control and improved gait performance.

Preparation

• The patient should discuss current medications and any possible allergies with their healthcare provider.
• No significant pre-procedure fasting or medication adjustments are generally required.
• A thorough assessment of the current prosthesis and fitting will be conducted.

Procedure Description

1. The existing prosthesis is inspected and the knee-shin segment is isolated.
2. The adjustable endoskeletal knee-shin system with a stance flexion feature is fitted and attached.
3. Adjustments are made to ensure a comfortable and functional fit.
4. The healthcare team will test the prosthesis while the patient is standing and walking, making real-time adjustments as needed.
5. The patient is guided through a brief session on using the new system effectively.

Tools and Technology:

• Adjustable endoskeletal components.
• Specialized fitting and adjustment tools.

Anesthesia:

• Generally, no anesthesia or sedation is necessary for this procedure.

Duration

The fitting and adjustment process typically take about 1-2 hours.

Setting

This procedure is usually performed in an outpatient clinic or prosthetic fitting center.

Personnel

• Certified prosthetist.
• Prosthetic technicians.
• Rehabilitation specialists, if necessary.

Risks and Complications

• Minor skin irritation or pressure sores due to initial adjustments.
• Mechanical failure of the adjustable parts.
• Non-compatibility with existing prosthetic components.

Benefits

• Improved stability and control during movement.
• Enhanced comfort and reduced risk of falls.
• Better quality of life and greater independence in daily activities.
• Benefits are often realized immediately or within a few days after fitting and adjustments.

Recovery

• Short recovery period with no significant downtime.
• The patient will receive detailed care instructions, including how to clean and maintain the new system.
• Follow-up appointments may be scheduled to check and adjust the prosthesis as needed.

Alternatives

• Traditional non-adjustable knee-shin systems.
• Microprocessor-controlled prosthetic knees (more advanced but typically more expensive).
• Each alternative has different pros and cons related to cost, complexity, and suitability for different activity levels.

Patient Experience

• The patient might feel minor discomfort or unfamiliarity initially, which usually resolves quickly.
• Pain management is generally not necessary, but patients can discuss any discomfort with their healthcare provider.
• Patients are encouraged to report any persistent issues for further adjustments.