Name of the Procedure:

Upper Extremity Addition, Standard Control Cable, Extra (HCPCS Code: L6655)

Summary

This procedure involves adding an extra standard control cable to an upper extremity prosthesis. The control cable helps in improving the function and movement of the prosthetic limb, allowing better control and mobility for the user.

Purpose

The procedure aims to enhance the mobility and functionality of an upper extremity prosthesis by adding an additional control cable. This can help people who require more precise movements or greater control over their prosthetic limb. Expected outcomes include improved dexterity and a broader range of motion for daily activities.

Indications

• Patients with upper limb amputation using a prosthesis
• Individuals requiring enhanced control and precision in their prosthetic limb movements
• Users experiencing difficulty or limitations with a single standard control cable

Preparation

• No specific pre-procedure fasting or medication adjustments required
• Ensure all diagnostic tests related to prosthesis fitting have been completed
• Discuss any potential allergies with healthcare providers, especially regarding materials used in the prosthesis

Procedure Description

1. The patient meets with a prosthetist for a thorough evaluation of their current prosthesis function.
2. The prosthetist inspects the existing control cable mechanism.
3. Based on the assessment, an additional standard control cable is selected.
4. The extra cable is carefully installed and connected to the prosthetic limb to enhance functionality.
5. Adjustments are made to ensure optimal performance and comfort.
6. The prosthetist guides the patient through initial movements to test the new setup.
7. Final tweaks are made based on patient feedback.

Tools and Equipment:

• Standard control cable
• Prosthetic limb components
• Adjustment and fitting tools

Duration

The procedure typically takes between 30 minutes to 1 hour.

Setting

The procedure is performed in a prosthetics clinic or rehabilitation center.

Personnel

• Certified Prosthetist
• Prosthetic Technician (if needed)

Risks and Complications

• Slight risk of discomfort during initial fitting
• Potential for minor irritation or abrasion at connection points
• Rare risk of incorrect adjustment requiring follow-up visits

Benefits

• Improved control and function of the upper extremity prosthesis
• Enhanced ability to perform daily tasks
• Greater range of motion and precision in movements
• Benefits are generally realized immediately post-procedure

Recovery

• No significant post-procedure recovery time required
• Immediate use of the improved prosthesis is encouraged
• Follow-up appointments may be scheduled for adjustment and to ensure optimal function

Alternatives

• Single control cable configuration
  • Pros: Simpler setup, easier maintenance
  • Cons: Limited control and precision
• Myoelectric prosthetic devices
  • Pros: Advanced control and natural movements
  • Cons: Higher cost, more complex maintenance

Patient Experience

• Patients may initially feel unfamiliar with the dual control cable system.
• Minimal discomfort expected, with most adjustments made during the fitting process.
• Any mild pain or irritation can be managed with adjustments or minor padding.
• Most patients quickly adapt and experience improved functionality in their daily activities.