Name of the Procedure:

• Common Name: Lower Extremity Prosthesis Application
• Technical/Medical Term: Foot, External Keel, SACH Foot (L5970)

Summary

This procedure involves the fitting and usage of a prosthetic foot known as a Solid Ankle Cushion Heel (SACH) foot for individuals who have undergone lower extremity amputations.

Purpose

• Medical Conditions: Commonly used for individuals with lower limb amputation, generally below the knee.
• Goals: To provide the patient with a functional prosthetic foot that improves mobility and quality of life by mimicking the natural walking motion.

Indications

• Symptoms/Conditions: Lower limb amputation due to trauma, diabetes, vascular diseases, or congenital conditions.
• Patient Criteria: Suitable for patients who require a stable and durable foot prosthesis for everyday activities.

Preparation

• Pre-procedure Instructions: Ensure the residual limb is healed and suitable for prosthetic fitting. Patients might need to attend fittings and adjustment sessions.
• Diagnostics: Assessment of the residual limb, including measurements and possibly imaging, to ensure a proper fit.

Procedure Description

1. Assessment: Comprehensive evaluation of the residual limb by a prosthetist.
2. Casting: Molding or scanning of the residual limb to create a custom socket.
3. Fabrication: Custom prosthetic assembly including a SACH foot.
4. Fitting: Initial fitting and adjustments to ensure comfort and functionality.
5. Training: Mobility training by a physical therapist to ensure proper use.

• Tools & Equipment: Casting materials, measurement tools, custom fabrication devices, SACH foot prosthesis.
• Anesthesia: Not typically required unless additional surgical adjustments are needed.

Duration

• Procedure Time: Several sessions over a few weeks for assessment, casting, fitting, and training.

Setting

• Location: Prosthetic and orthotic clinics, rehabilitation centers.

Personnel

• Involved Professionals: Prosthetists, physical therapists, possibly orthopedic surgeons.

Risks and Complications

• Common Risks: Discomfort, skin irritation, or pressure sores.
• Rare Risks: Improper alignment leading to gait issues, need for multiple adjustments.

Benefits

• Expected Benefits: Improved mobility, enhanced quality of life, ability to perform daily activities with greater independence.
• Timeframe: Benefits are usually realized within a few weeks of proper fitting and training.

Recovery

• Post-Procedure Care: Regular follow-up appointments for adjustments, skin care of the residual limb, and adherence to physical therapy exercises.
• Recovery Time: Variable, often taking a few weeks to months to fully adapt.
• Restrictions: Varies, generally no high-impact activities until fully adapted.

Alternatives

• Other Options: Different types of prosthetic feet (dynamic response feet, multi-axial feet), orthotic devices.
• Pros & Cons: Other prosthetic feet might offer more flexibility or energy return but could be more expensive or less durable.

Patient Experience

• During Procedure: Multiple sessions involving measuring, fitting, and training.
• After Procedure: Initial discomfort is common but can be managed with proper care and adjustments. Regular follow-up is crucial for ensuring comfort and functionality. Pain management may include over-the-counter pain relievers if necessary.