Name of the Procedure:

Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal (HCPCS code L6628).

Summary

This procedure involves the installation of a quick disconnect hook adapter on a prosthetic limb for the upper extremity (arm). This adapter allows for easy interchangeability of different terminal devices, such as hooks or hands, enhancing the functionality and convenience of the prosthetic device.

Purpose

The primary goal of this procedure is to provide individuals with upper extremity amputations the ability to quickly swap out the terminal device, such as a hook, on their prosthetic limb. This enhances their ability to perform various tasks more effectively and improves overall quality of life by making the prosthetic limb more versatile.

Indications

• Individuals with an upper extremity amputation who use a prosthetic limb.
• Patients requiring the use of different terminal devices for specific tasks or activities.
• Those seeking improved functionality and ease of use of their prosthetic limb.

Preparation

• No fasting or significant medical preparations are required.
• The patient may need to schedule a fitting appointment with a prosthetist.
• Pre-assessments may include evaluating the prosthetic limb and the patient's needs.

Procedure Description

1. Fitting: The patient meets with a prosthetist skilled in adaptive prosthetic technology.
2. Assessment: The existing prosthetic limb is assessed to ensure compatibility with the quick disconnect hook adapter.
3. Installation: The quick disconnect adapter is properly attached to the prosthetic limb.
4. Adjustment: The prosthetic limb is adjusted and tested to ensure the new adapter functions correctly and allows for easy interchangeability of terminal devices.
5. Training: The patient is trained on how to use the quick disconnect feature and swap the terminal devices confidently.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually carried out in a specialized outpatient clinic or prosthetic fitting center.

Personnel

• Prosthetist: A specialized professional in designing and fitting prosthetic limbs.
• Orthopedic Technician or Assistant: May assist the prosthetist during the procedure.

Risks and Complications

• Minor risks include discomfort or irritation at the site of the adapter attachment.
• Rare risks may involve the improper fitting of the adapter, which could necessitate additional adjustments or modifications.

Benefits

• Increased flexibility and functionality of the prosthetic limb.
• Enhanced ability to perform a variety of tasks with different terminal devices.
• Improved overall convenience and quality of life for the patient.
• Benefits can generally be realized immediately following the procedure.

Recovery

• There is no significant recovery time needed.
• The patient may need to attend follow-up appointments to ensure the adapter is functioning correctly and make any necessary adjustments.
• The patient can resume regular activities almost immediately.

Alternatives

• Fixed terminal devices that do not offer easy interchangeability.
• Using multiple prosthetic limbs, each with a different terminal device, although this is less convenient and more costly.

Patient Experience

• During the procedure: Minimal discomfort is expected, as the procedure involves mainly fitting and adjustment.
• After the procedure: Patients may feel more empowered and functional with their improved prosthetic limb, enabling easier performance of daily tasks.
• Pain management: Minimal pain relief is required, and any discomfort can generally be managed with over-the-counter analgesics if necessary. Comfort measures include adequate training and proper fitting of the adapter to avoid irritation.