Partial Hand, Little and/or Ring Finger Remaining (L6010)

Name of the Procedure:

Common Name(s): Partial Hand Prosthetic Fitting
Technical Term: Prosthesis for partial hand with remaining little and/or ring finger.

Summary

In this procedure, a prosthesis is custom-fitted for individuals who have had an amputation, leaving the little and/or ring finger intact. The prosthesis is designed to enhance functionality and aesthetics of the remaining hand.

Purpose

The procedure aims to address physical functionality and improve the quality of life for individuals who have undergone partial hand amputations. The goal is to restore as much hand function as possible, allowing patients to perform daily activities more efficiently.

Indications

• Amputation of the middle, index, and/or thumb fingers while retaining the little and/or ring fingers.
• Patients experiencing difficulties in daily activities due to the partial hand amputation.
• Individuals seeking improved hand aesthetics.

Preparation

• Medical evaluation and consultation with a specialist in prosthetics.
• Measurement and casting of the remaining hand to ensure a proper fit.
• Review of the patient’s medical history and current medications.
• No specific fasting or medication adjustments typically required.

Procedure Description

1. Initial Consultation: Introduction to the prosthesis options and determination of patient’s needs.
2. Casting and Measurement: A cast or digital scan of the hand is taken to create a custom mold.
3. Prosthesis Fabrication: The custom prosthesis is designed and manufactured based on the mold and patient specifications.
4. Fitting Session: The prosthetic device is fitted onto the patient’s residual limb, and adjustments are made for comfort and functionality.
5. Training: The patient is trained on how to use and care for the prosthesis.

Tools include casting materials, digital scanners, and specialized manufacturing equipment for prosthesis creation. Typically, local anesthesia might be used during initial fitting if any surgical intervention is required.

Duration

The process of fitting and fabrication usually requires a few weeks, but each fitting session may take about 1-2 hours.

Setting

The procedure is generally performed in a prosthetics clinic or a specialized outpatient facility.

Personnel

• Prosthetist
• Occupational Therapist
• Prosthetic Technician
• Medical Specialist (if surgical intervention is required)

Risks and Complications

• Common Risks: Discomfort, skin irritation, and pressure sores at the fitting site.
• Rare Risks: Infection, allergic reactions to materials, and mechanical failure of the prosthesis.
• Management involves adjustments, topical treatments, and possibly antibiotics for infections.

Benefits

• Enhanced hand functionality, allowing for improved grasp and manipulation of objects.
• Aesthetic improvement, which can positively impact self-esteem and social interactions.
• Benefits can often be realized immediately after fitting and training.

Recovery

• Post-procedure care involves regular cleaning and maintenance of the prosthesis.
• Follow-up sessions to monitor for fit and function, typically within the first few weeks.
• Recovery time is usually minimal, with most patients adapting within a few weeks.

Alternatives

• No prosthesis: Patient may choose to adapt without a prosthetic device.
• Customized splints or orthotic devices that offer some functional support.
• Electromechanical devices: These provide advanced functionality but at a higher cost and complexity.

Patient Experience

• Patients might initially experience a learning curve while adapting to the new prosthesis.
• Some discomfort may occur during the initial fitting stages.
• Pain management options include over-the-counter pain medications and comfort measures such as cushioned liners.