Name of the Procedure:

Below Elbow Prosthesis with Molded Socket (Muenster or Northwestern Suspension Types)

Summary

This procedure involves fitting a below-elbow amputee with a customized prosthetic socket that is molded specifically to their residual limb. The socket can utilize either Muenster or Northwestern suspension types, which are methods of securing the prosthesis to the limb.

Purpose

This procedure is designed to help individuals who have lost their arm below the elbow regain functional capability and improve their quality of life. The goals are to provide the patient with a comfortable, secure prosthesis that allows for a range of daily activities.

Indications

• Patients with a below-elbow amputation
• Those seeking improved function and comfort from their prosthesis
• Individuals who have difficulty with traditional suspension types

Preparation

• Patients may be required to undergo a physical and psychological assessment.
• Ensure the residual limb is free from infection or significant swelling.
• No specific fasting or medication adjustments are typically needed.

Procedure Description

1. Measurements of the residual limb are taken for custom socket creation.
2. A mold is created using plaster or a digital scan.
3. The custom socket is fabricated based on the mold.
4. The prosthetist fits the socket to the residual limb, adjusting as necessary for comfort and function.
5. Training is provided on how to use and care for the prosthesis.

Tools:

• Plaster or digital scanning devices
• Material for socket fabrication (e.g., thermoplastic, silicone)

Anesthesia: Not typically required as this is a non-surgical procedure.

Duration

The fitting process and adjustments can take several hours spread over a few sessions.

Setting

The procedure is usually performed in a specialized prosthetic clinic.

Personnel

• Prosthetist
• Occupational therapist for training and adjustments

Risks and Complications

• Skin irritation or pressure sores on the residual limb
• Discomfort due to improper fit
• Mechanical failure or malfunction of the prosthesis

Benefits

• Restoration of limb function
• Improved ability to perform daily activities
• Enhanced comfort and security compared to non-customized prosthetics

Benefits can be realized almost immediately, with full adaptation typically occurring within weeks.

Recovery

• Follow-up appointments for adjustments
• Proper limb hygiene to prevent infection or irritation
• Regular check-ups to ensure the prosthesis remains functional and fits well

Alternatives

• Other types of prosthetics (e.g., myoelectric hands, body-powered prosthetics)
• Pros: Different functionalities and control options
• Cons: May involve different training and adjustment periods

Patient Experience

Patients might experience initial discomfort as they adjust to the new prosthesis. Over-the-counter pain relievers can help manage any pain or discomfort. Ongoing support and training are provided to ensure comfort and function.