Name of the Procedure:

• Common Name: Above Elbow Prosthetic with Molded Double Wall Socket
• Technical Term: HCPCS Code L6250

Summary

This procedure involves fitting a prosthetic arm above the elbow. It includes a molded double-wall socket for a comfortable and secure fit, as well as an internal locking elbow and forearm, enhancing functionality and usability for the patient.

Purpose

The above elbow prosthetic is designed to:

• Address the loss of an arm above the elbow due to trauma, surgical amputation, or congenital conditions.
• Provide better mobility and functionality in daily activities.
• Enhance the patient’s quality of life by allowing greater independence.

Indications

• Loss of arm above the elbow.
• Difficulty handling daily tasks with a traditional prosthetic.
• Patient’s need for improved functionality and comfort.

Preparation

• Consultations with a prosthetist and possibly an occupational therapist.
• Possible imaging (e.g., X-rays) to assess the residual limb.
• Regular medications should generally be continued, but specific instructions may be given.

Procedure Description

1. Assessment: Initial evaluation of the residual limb and selection of the prosthetic design.
2. Casting/Molding: Creating a custom mold of the residual limb to ensure a perfect fit.
3. Fabrication: Crafting the double-wall socket and assembling the prosthetic components.
4. Fitting: Initial fitting and adjusting of the prosthetic to ensure comfort and functionality.
5. Training: Instruction on how to use and maintain the prosthetic.

• Tools/Equipment Used:

  • Casting materials
  • Prosthetic components (internal locking elbow, socket)
  • Adjustment tools

• No anesthesia or sedation is typically required.

Duration

The appointment for casting and fitting usually takes 1-2 hours. Custom fabrication can take several weeks.

Setting

The procedures are performed in an outpatient prosthetic clinic.

Personnel

• Prosthetist
• Possibly an occupational therapist

Risks and Complications

• Initial discomfort or irritation.
• Possibility of pressure sores if the socket does not fit perfectly.
• Need for adjustments and follow-up appointments.

Benefits

• Improved functionality and ability to perform daily activities.
• Enhanced comfort compared to traditional prosthetics.
• Increased independence and quality of life.

Recovery

• Some initial discomfort is to be expected as the patient adjusts.
• Regular follow-up appointments to adjust fit and function.
• Instructions on cleaning and maintaining the prosthetic.

Alternatives

• Traditional prosthetics (less advanced functionality).
• Myoelectric prosthetics (controlled by muscle signals, typically more expensive and requiring more training).

Patient Experience

• During Procedure: Minimal discomfort during casting and fitting.
• After Procedure: Initial period of adjustment and possible irritation. Pain management includes over-the-counter pain relievers if necessary.
• Long Term: Periodic adjustments and continuous practice to achieve the best functional outcomes.

Regular check-ups with the prosthetist will help to ensure that the prosthetic remains comfortable and functional as the patient integrates it into their daily life.