Name of the Procedure:

Common name(s): Above-Knee Prosthesis with Flexible Protective Cover Medical term: Addition, endoskeletal system, above knee, flexible protective outer surface covering system (HCPCS L5964)

Summary

An above-knee prosthesis with a flexible protective covering is a type of artificial limb designed for individuals who have had an above-knee amputation. This procedure involves adding a flexible, durable outer surface to the mechanical components of the prosthesis to protect it and provide a more natural appearance.

Purpose

The procedure aims to:

• Protect the mechanical components of the prosthesis
• Enhance the durability and longevity of the prosthesis
• Provide a more natural appearance
• Improve the comfort and usability for the patient

Indications

• Individuals with above-knee amputations
• Patients seeking improved durability and aesthetics for their prosthesis
• Candidates looking for enhanced protection of their prosthesis components

Preparation

• No specific preparation is usually required for the addition of an outer covering
• Patients should ensure their prosthesis is clean and functional
• Any concerns about fit or comfort should be addressed with the prosthetist beforehand

Procedure Description

1. The patient visits the prosthetist.
2. The prosthesis is examined for any necessary adjustments.
3. A flexible protective covering is selected based on the patient's needs and preferences.
4. The covering is custom-fitted over the mechanical components of the prosthesis.
5. The covering is secured in place, ensuring no movement or slippage during use.
6. The patient is guided on maintaining and cleaning the new covering.

Tools and Equipment:

• Flexible protective covering material
• Fitting tools and adhesives
• Adjustment tools for the prosthesis

Anesthesia: Not required

Duration

Approximately 1-2 hours.

Setting

Typically performed in an outpatient clinic or a specialist prosthetic facility.

Personnel

• Prosthetist
• Prosthetic technician (if needed)

Risks and Complications

• Minimal risks; potential for minor skin irritation or allergic reaction to the covering material
• Rare complications may include improper fitting leading to discomfort or reduced mobility

Benefits

• Enhanced durability and protection of the prosthesis
• Improved comfort and usability
• A more natural appearance
• Immediate functional benefits post-application

Recovery

• No specific recovery period required
• Patients can use their prosthesis immediately post-application
• Regular cleaning and maintenance as advised by the prosthetist

Alternatives

• Use of a rigid outer covering, which may offer less comfort
• Use of a prosthesis without any additional covering, which may reduce durability
• Other types of protective coverings or materials depending on the patient's needs

Patient Experience

• Most patients feel immediate comfort and satisfaction with the improved aesthetics and protection
• Patients might experience minimal discomfort during the fitting process, but this is generally brief and manageable
• Regular activities can be resumed quickly with improved confidence in the durability and appearance of the prosthesis

Pain management: Typically unnecessary, over-the-counter pain relief if discomfort arises, but this is rare.