Name of the Procedure:

Addition, Endoskeletal System, Below Knee, Ultra-light Material (Titanium, Carbon Fiber or Equal)

Summary

This procedure involves the addition of an endoskeletal (internal support) prosthetic system for below-knee amputees. The prosthetic limb is constructed from ultra-light materials such as titanium or carbon fiber to offer better mobility and comfort.

Purpose

• Medical Conditions: This procedure is intended for individuals with below-knee amputations.
• Goals: To improve mobility, functionality, and comfort for below-knee amputees by using a prosthetic limb made from advanced, ultra-light materials.

Indications

• Symptoms/Conditions: Below-the-knee amputation due to trauma, diabetes, circulatory issues, or congenital conditions.
• Patient Criteria: Suitable for patients with proper limb stump healing, sufficient skin and tissue health, and the ability to be fitted and trained for using the prosthetic.

Preparation

• Pre-procedure Instructions: Patients may need to attend a pre-fitting consultation, undergo physical evaluations, and discuss their medical history with the prosthetist.
• Diagnostic Tests/Assessments: Measurements of the residual limb, gait analysis, and sometimes imaging studies to ensure proper fit and alignment of the prosthetic.

Procedure Description

1. Evaluation & Fitting: Initial assessment and measurements of the residual limb.
2. Design & Fabrication: Creation of a custom-fit socket and assembly of the prosthetic limb using ultra-light materials such as titanium or carbon fiber.
3. Adjustment & Alignment: The prosthetist adjusts and aligns the prosthetic for optimal fit and function.
4. Trial Wear: The patient tries the prosthetic limb, and adjustments are made for comfort and performance.

Duration

The entire process, from initial consultation to final adjustments, can take several weeks to months depending on the complexity and individual needs.

Setting

The procedure is typically performed in a specialized outpatient clinic equipped for prosthetic fitting and adjustments.

Personnel

• Prosthetists
• Orthotists
• Physical Therapists
• Support Staff (e.g., medical assistants)

Risks and Complications

• Common Risks: Skin irritation, blistering, and pressure sores at the stump.
• Rare Risks: Prosthetic malfunction or failure, and severe alignment issues.
• Management: Regular follow-up appointments to monitor and address any complications.

Benefits

• Improved Mobility: Enhanced walking ability and balance.
• Comfort: Increased comfort due to the custom fit and lightweight materials.
• Functionality: Greater ease in performing daily activities. Benefits can be realized shortly after the final fitting and adjustment.

Recovery

• Post-procedure Care: Regular cleaning and maintenance of the prosthetic limb.
• Instructions: Gradual increase in wear time, starting with short periods and slowly increasing.
• Recovery Time: Generally, a few weeks to a few months for a fully functional adaptation.
• Follow-Up: Periodic appointments for adjustments and checkups.

Alternatives

• Other Options: Traditional prosthetic limbs made from heavier materials.
• Pros and Cons: Traditional limbs are usually less expensive but heavier and less comfortable compared to ultra-light alternatives.

Patient Experience

• During Procedure: The process involves detailed measurements and multiple fittings, which may cause slight discomfort but is generally well tolerated.
• After Procedure: Initial discomfort as the new prosthetic is adapted, but proper pain management techniques and follow-up can mitigate this.
• Pain Management: Over-the-counter pain relievers and guidance on proper stump care and prosthetic use to optimize comfort.