Name of the Procedure:

Upper Extremity Addition, Teflon or Equal, Cable Lining (HCPCS Code: L6665)

Summary

This procedure involves installing a cable lining, typically made of Teflon or an equivalent material, in the upper extremity. The cable lining is used to enhance functionality and mobility in patients who need support for tendons or nerve conduits within the arm.

Purpose

The cable lining is utilized to address issues such as nerve damage, tendon ruptures, or other conditions that impair the function of the upper extremity. The primary goal is to restore or improve arm movement, reduce pain, and prevent further injury.

Indications

• Patients with severe tendon injuries or ruptures requiring reinforcement.
• Individuals with nerve damage that impacts arm movement.
• Cases where existing tendons or nerves need additional support.

Preparation

• Patients may be required to fast for a specific period before the procedure.
• Medication adjustments may be needed as per the doctor's advice.
• Pre-procedure imaging tests, like X-rays or MRIs, might be necessary to assess the extent of damage and plan the surgery.

Procedure Description

1. The patient is placed under anesthesia.
2. An incision is made in the affected area of the upper extremity.
3. The damaged tendon or nerve is identified.
4. The Teflon or equivalent cable lining is carefully positioned along the tendon or nerve.
5. The lining is securely anchored in place.
6. The incision is closed with sutures, and a sterile dressing is applied.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity of the case.

Setting

This procedure is generally performed in a hospital or surgical center.

Personnel

• Orthopedic or Plastic Surgeon
• Surgical Nurse
• Anesthesiologist
• Surgical Technologist

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma formation
• Nerve damage
• Allergic reactions to the material
• Failure of the cable lining to integrate properly

Benefits

• Improved upper extremity function
• Reduced pain and discomfort
• Stabilization of tendons or nerves
• Potentially quicker recovery compared to alternative methods

Recovery

• Patients will receive pain management medications post-procedure.
• The arm may need to be immobilized initially with a brace or sling.
• Physical therapy might be recommended to support recovery.
• Complete recovery can take several weeks to months, depending on the severity of the initial condition.

Alternatives

• Tendon grafts or transfers
• Brace or splint without surgical intervention
• Physical therapy alone
• Pros and Cons: Teflon lining generally offers more robust support but requires surgery, while non-surgical options may involve a longer recovery and less stability.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Afterward, there could be discomfort and swelling, which will be managed through medications and care instructions. Patients may need to follow physical therapy to regain full functionality and strength in the arm.