Name of the Procedure:

Addition to Lower Extremity Prosthesis - User Adjustable Heel Height

Summary

This procedure involves adding a heel height adjustment feature to a lower extremity prosthetic device, enabling the user to modify the height of the heel as needed. This can help improve comfort and mobility when wearing different types of footwear.

Purpose

• Medical Conditions: Prosthesis wearers who need varying heel heights for different footwear.
• Goals: To enhance the functionality, comfort, and versatility of a prosthetic limb.

Indications

• Difficulty or discomfort in using different types of footwear with a fixed-height prosthesis.
• Need for a more adaptable prosthetic limb for various activities and occasions.
• Patients seeking improved mobility and convenience.

Preparation

• Pre-Procedure Instructions: Typically, no special preparation such as fasting or medication adjustments is required.
• Diagnostics: Assessment by a prosthetist to determine appropriate heel height adjustments and compatibility with the existing prosthesis.

Procedure Description

1. Assessment: The prosthetist evaluates the current prosthesis.
2. Customization: Necessary adjustments are marked and tailored based on the user’s needs.
3. Installation: The adjustable heel height mechanism is attached to the prosthesis.
4. Fitting and Testing: The user tests the new adjustment feature and provides feedback for any final tweaks.
   • Tools and Equipment: Prosthetic modification tools, adjustable components.
   • Anesthesia: Not required.

Duration

The procedure typically takes about 1-2 hours but can vary based on individual needs.

Setting

This procedure is usually performed in a prosthetics clinic or outpatient facility.

Personnel

• Prosthetist
• Prosthetic technician (if needed)

Risks and Complications

• Common Risks: Minor discomfort during the adjustment period, potential need for readjustments.
• Rare Risks: Mechanical failure of the adjustable component, skin irritation at the prosthetic interface.

Benefits

• Enhanced comfort and ability to use various types of footwear.
• Improved user satisfaction and increased daily functional versatility.
• Benefits can often be realized immediately after proper fitting and adjustment.

Recovery

• Post-Procedure Care: Routine care for the prosthesis and skin assessment.
• Recovery Time: No significant recovery time; users can typically resume normal activities immediately.
• Restrictions/Follow-Up: Regular follow-ups to ensure optimal fit and function.

Alternatives

• Other Options: Fixed-height prostheses, custom shoes to match the prosthesis.
• Pros and Cons: Fixed-height prostheses may be simpler but less versatile; custom shoes can be costlier and less practical than an adjustable prosthesis.

Patient Experience

• During Procedure: Generally, a comfortable and non-invasive experience.
• After Procedure: Initial period of adaptation; minor adjustments may be required.
• Pain Management: Minimal discomfort, typically managed with over-the-counter pain relievers if necessary. Careful monitoring ensures comfort and satisfaction.