Name of the Procedure:

Below Elbow Prosthesis, Molded Socket, Flexible Elbow Hinge, Triceps Pad

• Common name: Below Elbow Prosthesis with Flexible Elbow Hinge
• Medical term: HCPCS Code L6100

Summary

A Below Elbow Prosthesis with a molded socket, flexible elbow hinge, and triceps pad is a type of artificial limb fitted to individuals with an amputation below the elbow. This device mimics the function of a natural arm, enabling the patient to perform daily activities.

Purpose

The primary purpose of this prosthesis is to restore arm function for individuals who have undergone an amputation below the elbow. It aims to enhance the patient's quality of life by improving mobility, independence, and the ability to perform routine tasks.

Indications

• Traumatic amputation below the elbow
• Congenital limb deficiency
• Severe injury resulting in the need for an amputation below the elbow
• Patient has adequate residual limb integrity for prosthetic fitting

Preparation

• Custom fitting appointment to take precise measurements of the residual limb.
• Assessment of the residual limb’s condition, including skin health and muscle tone.
• Possible diagnostic tests include X-rays and consultations with a prosthetist.

Procedure Description

1. Measurement and Molding: The prosthetist takes precise measurements of the residual limb and creates a mold.
2. Socket Fabrication: A custom-molded socket is created to fit the residual limb snugly.
3. Assembly: The flexible elbow hinge and triceps pad are attached to the socket. The prosthesis is assembled to ensure proper alignment and functionality.
4. Fitting and Adjustment: The patient tries the prosthesis, and necessary adjustments are made for comfort and alignment.
5. Training: The patient undergoes training to learn how to use the prosthesis effectively.

• Tools/Equipment: Measurement tools, materials for molding and socket fabrication, adjustable components.
• Anesthesia: Not required.

Duration

The fitting and adjustment process typically takes several hours over multiple appointments.

Setting

The procedure is performed in a prosthetics clinic.

Personnel

• Certified Prosthetist
• Prosthetic Technician
• Occupational Therapist (for training)

Risks and Complications

• Skin irritation or pressure sores on the residual limb
• Misalignment leading to discomfort or difficulty in use
• Possible mechanical failure of the prosthesis components

Benefits

• Enhanced ability to perform daily activities
• Restoration of a more natural appearance
• Increased independence and quality of life Benefits may be realized immediately upon proper fitting and training with the device.

Recovery

• Follow-up appointments for adjustments and monitoring skin health.
• Patients typically adapt to the prosthesis within a few weeks, with no major downtime.
• Regular maintenance of the prosthesis components is necessary.

Alternatives

• No prosthesis (using adaptive techniques)
• Other types of prostheses (myoelectric or body-powered prostheses)
• Each alternative has its own pros and cons concerning functionality, comfort, and cost.

Patient Experience

• Patients will experience a period of adjustment as they learn to use the prosthesis.
• Initial discomfort can be managed with proper adjustments and training.
• Pain management includes addressing any skin irritation promptly.
• Ongoing support from the prosthetics team ensures a positive experience and optimal function.