Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
HCPCS code
Name of the Procedure:
Addition, Endoskeletal System, Above Knee, Ultra-Light Material (Titanium, Carbon Fiber or Equal)
Summary
This procedure involves attaching an ultra-light prosthetic limb, typically made from titanium, carbon fiber, or similar high-strength, lightweight materials, to the above-knee amputation site. The goal is to provide improved mobility and comfort for individuals with above-knee amputations.
Purpose
This procedure is designed to help those who have undergone above-knee amputations due to various medical reasons, including trauma, cancer, or severe infections. The primary goals are to restore as much function as possible, reduce the physical burden of wearing a prosthetic limb, and enhance the quality of life by using advanced lightweight materials.
Indications
- Above-knee amputation
- Desire for increased mobility and functionality
- Need for a lightweight and durable prosthetic limb
- Intolerance or complications with heavier prosthetic options
Preparation
- Medical evaluation to confirm suitability for the ultra-light prosthetic
- Adjustments to any ongoing medication as advised by a healthcare provider
- Measurements and casting of the residual limb for custom fitting
- Possible imaging (e.g., X-rays) to assess bone and tissue conditions
Procedure Description
- Initial Consultation: A consultation to discuss goals, options, and suitability.
- Measurement & Casting: Detailed measurements and casting of the residual limb to ensure a custom fit.
- Fabrication: The prosthetic limb is custom-fabricated using lightweight materials like titanium and carbon fiber.
- Fitting & Adjustment: The prosthetic limb is fitted and adjusted for optimal alignment and comfort.
- Functional Training: The patient undergoes gait training and rehabilitation to adapt to the new prosthetic.
Tools and Equipment
- Casting materials
- Prosthetic components made of titanium, carbon fiber, or similar materials
- Alignment and adjustment tools
Anesthesia or Sedation Details
Typically, no anesthesia or sedation is required for fitting the prosthetic limb.
Duration
The entire process from initial consultation to final fitting and adjustment may take several weeks, with each fitting session lasting about 1-2 hours.
Setting
- Outpatient clinic
- Specialized prosthetic and orthotic center
Personnel
- Prosthetist
- Rehabilitation specialist
- Physical therapist
Risks and Complications
- Skin irritation or sores at the site of contact
- Misalignment or discomfort requiring adjustments
- Mechanical issues with the prosthetic components
- Risk of falling during the adaptation process
Benefits
- Increased mobility and independence
- Enhanced comfort due to lightweight materials
- Improved overall quality of life
- Reduced wear and tear on the residual limb
Recovery
- Follow-up appointments for adjustments and monitoring
- Continuous physical therapy and gait training
- Possible temporary restrictions on strenuous activity until fully adapted
- Gradual increase in activity level as comfort and confidence improve
Alternatives
- Heavier prosthetic limbs made from materials like steel
- Prosthetic limbs with microprocessor-controlled joints for advanced mobility
- Wheelchair use for those unable to use a prosthetic limb
Pros and Cons of Alternatives
- Heavier limbs might offer durability but are less comfortable.
- Microprocessor limbs provide advanced functions but are costly.
- Wheelchairs offer mobility but limit overall physical activity and independence.
Patient Experience
Patients may initially experience discomfort and need time to adapt to the new prosthetic. Functional training and physical therapy can help manage pain and improve comfort. Consistent follow-up and proper care are essential to optimize the patient experience and adapt to the new prosthetic limb successfully.