All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system
HCPCS code
Name of the Procedure:
Lower Extremity Prosthesis Fitting - Multi-Axial Ankle & Dynamic Response Foot (L5979)
Summary
The procedure involves fitting a specialized prosthetic device for patients who have lost a part or all of their lower extremity. This one-piece system combines a multi-axial ankle and a dynamic response foot to better mimic natural movement.
Purpose
The prosthesis is designed to address mobility issues resulting from the loss of a lower limb. It aims to improve balance, gait, and overall quality of life by providing a more natural and energy-efficient walking experience.
Indications
- Loss of a lower limb due to trauma, medical conditions such as diabetes, or congenital defects.
- Desire to return to a more active lifestyle.
- Adequate residual limb health to support the prosthesis.
Preparation
- Medical evaluation to assess overall health and limb condition.
- Measurements and molds of the residual limb.
- Adjustments in current medications if necessary (e.g., blood thinners).
- No specific fasting required.
Procedure Description
- Initial Consultation and Assessment: A prosthetist evaluates the patient's overall health, lifestyle, and specific needs.
- Measuring and Molding: Detailed measurements and molds of the residual limb are taken to ensure a custom fit.
- Fabrication: The prosthesis is custom-made based on the measurements and molds.
- Fitting Session: The prosthetic device is fitted to the patient, followed by adjustments based on initial feedback.
- Training: The patient undergoes gait training and learns to use the prosthetic device effectively.
Tools and Equipment
- Measuring and molding kits
- Prosthesis fabrication materials
- Adjustment tools
Anesthesia
Usually not required, as the procedure is non-invasive.
Duration
The fitting session typically takes 1-2 hours, but the entire process from consultation to training may span several weeks.
Setting
Typically performed in a prosthetic clinic or a specialized medical facility.
Personnel
- Certified Prosthetist-Orthotist (CPO)
- Physical Therapist
- Occasionally, an Orthopedic Specialist
Risks and Complications
- Skin irritation or sores on the residual limb.
- Improper fit leading to discomfort or gait issues.
- Rarely, infections or allergic reactions to materials.
Benefits
- Improved mobility and natural walking pattern.
- Enhanced comfort and balance.
- Potential for increased physical activity and independence. Benefits are often noticed immediately after fitting and improve as the patient becomes accustomed to the device.
Recovery
- Regular follow-up appointments for adjustments.
- Physical therapy sessions for optimal use.
- Initial adaptation period can last several weeks, with ongoing adjustments as needed.
Alternatives
- Standard prosthetics without multi-axial or dynamic response features.
- Wheelchairs or mobility scooters.
- The alternative options may be less costly but also less functional.
Patient Experience
Patients may feel initial discomfort as they adapt to the fit and function of the new prosthesis. However, most find that pain management is minimal and comfort increases significantly over time. Regular check-ups and talks with the prosthetist can help manage any issues that arise.