Name of the Procedure:

Addition, Endoskeletal System, Below Knee, Alignable System (L5910)

Common names: Below-Knee Prosthetic Alignable System, Below-Knee Prosthetic Component

Summary

The "Addition, endoskeletal system, below knee, alignable system (L5910)" is a procedure involving the addition of an adjustably alignable component to a below-knee prosthetic limb. This component allows for fine-tuning and proper alignment of the prosthetic to ensure optimal fit and function for the user.

Purpose

This procedure addresses issues related to improper fitting of a below-knee prosthetic limb, which can lead to discomfort, reduced mobility, and potential injury. The primary goal is to enhance the fit, comfort, and functionality of the prosthetic limb by allowing for precise adjustments.

Indications

• Misalignment of the current below-knee prosthetic limb causing discomfort or functional issues
• Changes in the residual limb volume or shape
• Patient experiencing pain or sores due to improper prosthetic fit

Preparation

• Pre-procedure instructions: Patients may need to attend a consultation session and fitting appointment.
• Diagnostic tests: Detailed assessment of the residual limb, including possible imaging studies, to determine the best fit and alignment needs.

Procedure Description

1. Initial Assessment: Begin with a thorough examination of the residual limb and the existing prosthetic.
2. Component Selection: Choose the appropriate alignable system component for the patient's specific needs.
3. Fitting: Attach the alignable component to the existing below-knee prosthetic.
4. Alignment Adjustments: Carefully adjust the component to ensure the prosthetic is correctly aligned for optimal functionality and comfort.
5. Final Checks: Verify the adjustments and make any final modifications as necessary.

Tools and Equipment: Endoskeletal components, alignment tools, and fitting equipment.

Anesthesia: Not typically required, as it is a non-invasive procedure.

Duration

Approximately 1-2 hours, depending on the complexity of the adjustments required.

Setting

This procedure is typically performed in an outpatient prosthetics clinic.

Personnel

• Certified Prosthetist
• Orthotist
• Prosthetic Technicians
• Physical Therapist (if gait training or further rehabilitation is needed)

Risks and Complications

• Minor skin irritation or discomfort
• Rarely, misalignment even after adjustments, requiring further tuning
• Risk of pressure sores if alignment is not precise

Benefits

• Improved prosthetic fit and alignment
• Enhanced comfort and reduced pain
• Better mobility and functionality
• Immediate realization of benefits once alignment is achieved

Recovery

• Post-procedure care involves routine checks and adjustments as needed.
• General recovery is immediate with no additional physical restrictions.
• Follow-up appointments may be necessary to monitor the fit and function.

Alternatives

• Static, non-adjustable prosthetic components which may not provide the same level of comfort and functionality.

• Custom-fabricated prosthetics without alignable features.

  Pros and Cons of Alternatives:

• Non-adjustable components: simpler but less precise fit
• Custom-fabricated prosthetics: highly tailored but more expensive and less adjustable over time

Patient Experience

During the procedure, the patient will feel minor adjustments and fittings, with no significant pain. After the procedure, the patient may experience immediate improvement in prosthetic comfort and functionality, with any minor discomfort typically addressed through further adjustments. Pain management is generally minimal, primarily involving over-the-counter pain relief if needed.