Name of the Procedure:

Common Name(s): Hook prosthetic attachment, hook arm device
Technical/Medical Term: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined (L6706)

Summary:

A terminal device, commonly referred to as a hook prosthetic attachment, is a type of arm prosthesis designed for individuals who have lost their hand or forearm. This device is mechanically operated and can be made from various materials, available in multiple sizes, and can be either lined or unlined. It is designed to open voluntarily, allowing the user to grasp and release objects through a simple and effective mechanical system.

Purpose:

The primary purpose of this device is to assist individuals with forearm or hand amputations in performing daily activities that require gripping, holding, or manipulating objects. The goals of the procedure include restoring a degree of functional independence and improving the quality of life by enabling the individual to perform tasks that would otherwise be challenging or impossible.

Indications:

• Partial or complete amputation of the hand or forearm.
• Conditions such as traumatic injury, congenital limb deficiencies, or surgical removal due to medical conditions.
• Patients seeking to improve their ability to perform tasks requiring manual dexterity.

Preparation:

• Patients may need a thorough medical evaluation to determine the suitability of a prosthetic device.
• Measurements of the residual limb and assessment for fitting.
• No special pre-procedure instructions like fasting or medication adjustments are typically needed.

Procedure Description:

1. Assessment: A prosthetist will assess the residual limb and take precise measurements.
2. Fitting: A custom-fitted socket is created to snugly fit the residual limb.
3. Attachment: The mechanical hook device is attached to the socket.
4. Adjustment: The device is adjusted for optimal comfort and functionality.
5. Training: The patient is trained on how to use and control the device effectively using voluntary opening mechanisms.

Tools and Equipment:

• Measuring tools, prosthetic materials, mechanical hook device components.

Anesthesia or Sedation:

• None required for the fitting procedure.

Duration:

The entire process, from assessment to fitting and training, typically takes a few hours spread across several visits.

Setting:

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

Personnel:

• Prosthetist
• Occupational Therapist (for functional training)
• Rehabilitation Specialist

Risks and Complications:

• Skin irritation or pressure sores from an ill-fitting socket.
• Mechanical failure or wear and tear of the device.
• Difficulty in mastering the use of the device (requires proper training and practice).

Benefits:

• Improved ability to perform daily activities such as eating, dressing, and personal hygiene.
• Enhanced functional independence.
• Improved psychological and social well-being.
• Benefits typically realized immediately after proper fitting and training.

Recovery:

• Initial adaptation to the prosthetic device might take a few weeks.
• Regular follow-up appointments for adjustments and evaluations.
• Continuous use and practice lead to better proficiency.
• Post-procedure care includes skin care checks and maintenance of the device.

Alternatives:

• Passive cosmetic prostheses
• Myoelectric prosthetic devices (more advanced and electronic)
• Pros: Higher functionality and aesthetics in advanced devices.
• Cons: More costly, requires more maintenance, and possibly a longer adaptation period.

Patient Experience:

• Some initial discomfort and a learning curve are expected.
• Enhanced functionality in daily tasks, leading to relief and satisfaction.
• Pain management is typically minimal, focusing on adjusting to the fit and usage of the device.
• Routine follow-ups ensure the device remains comfortable and functional.

This markdown-styled text provides a comprehensive but concise overview of the terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined (L6706), suitable for patient education and information.