Upper Extremity Addition, Harness, Chest or Shoulder, Saddle Type (L6672)

Name of the Procedure:

Common Name: Upper Extremity Harness Addition\ Technical/Medical Term: Prosthesis harnessing, chest or shoulder, saddle type

Summary

This procedure involves the addition of a specific type of harness to an upper extremity prosthesis. The chest or shoulder saddle-type harness helps to stabilize and secure the prosthesis, providing better control and comfort for the user.

Purpose

Medical Conditions or Problems

• Amputation of upper extremities
• Loss of functionality in upper limb prosthesis users

Goals/Expected Outcomes

• Improved stability and control of the prosthesis
• Enhanced comfort for the wearer
• Better alignment and reduced skin irritation

Indications

Symptoms or Conditions Warranting the Procedure

• Difficulty in controlling an upper extremity prosthesis
• Skin irritation or discomfort from existing harness systems
• Need for improved prosthetic function

Patient Criteria

• Individuals with upper extremity amputations
• Patients experiencing issues with their current prosthetic harness

Preparation

Pre-Procedure Instructions

• No specific preparation is typically required
• Ensure that the prosthesis and the residual limb are clean
• Wear loose, comfortable clothing for the fitting

Diagnostic Tests or Assessments

• Physical examination of the residual limb
• Assessment of current prosthesis and harness system
• Measurement of shoulder and chest dimensions for proper harness fitting

Procedure Description

Step-by-Step Explanation

1. Initial Consultation: Measure the residual limb and surrounding areas.
2. Harness Selection: Choose the appropriate chest or shoulder saddle-type harness based on measurements and patient needs.
3. Fitting: Adjust the harness straps and components to ensure a snug, comfortable fit.
4. Attachment: Secure the harness to the existing prosthesis.
5. Adjustment: Fine-tune the harness for optimal comfort and functionality.
6. Testing: Patient tests the prosthesis with the new harness to ensure proper operation and comfort.

Tools, Equipment, or Technology Used

• Measuring tape
• Various types of chest or shoulder saddle harnesses
• Adjustment tools (e.g., screwdrivers, wrenches)

Anesthesia or Sedation

• Not applicable

Duration

The fitting and adjustment procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually performed in an orthotics and prosthetics clinic or outpatient facility.

Personnel

• Prosthetist
• Orthotist
• Physical therapist (if necessary)

Risks and Complications

Common Risks

• Minor skin irritation or pressure sores
• Initial discomfort as the patient adjusts to the new harness

Rare Risks

• Allergic reaction to materials used in the harness
• Improper fit leading to poor prosthetic function

Management

• Regular follow-up appointments for adjustments
• Recommendations for skin care and comfort

Benefits

• Improved control and stability of the prosthesis
• Enhanced comfort and reduced skin irritation
• Increased confidence and functionality in daily activities

Recovery

Post-Procedure Care and Instructions

• Monitor for signs of skin irritation or discomfort
• Follow-up visits for adjustments and fine-tuning
• Routine cleaning and maintenance of the harness and prosthesis

Expected Recovery Time

• Immediate use of the prosthesis with the new harness
• Full adjustment period may take 1-2 weeks

Restrictions/Follow-Up

• Avoid heavy lifting or strenuous activities initially
• Regular follow-up appointments as recommended by the prosthetist

Alternatives

Other Treatment Options

• Standard upper extremity harness systems
• Custom-molded harnesses

Pros and Cons of Alternatives

• Standard Harnesses: Easier to find and fit but may not provide the same level of comfort or control.
• Custom-Molded Harnesses: Offer a tailored fit but can be more expensive and time-consuming to produce.

Patient Experience

During the Procedure

• Minimal discomfort during fitting and adjustments
• Some pressure as the harness is adjusted

After the Procedure

• Mild initial discomfort as the body adapts to the new harness
• Improved comfort and prosthetic control within a few days
• Recommendations for pain management and comfort strategies (e.g., using padding or adjusting the fit)