Name of the Procedure:

Addition to Upper Extremity Prosthesis: Glove for Terminal Device, Any Material, Prefabricated, Includes Fitting and Adjustment (L6890)

Summary

This procedure involves adding a prefabricated glove to a prosthetic device for the upper extremity. The glove is designed to cover the terminal device (the part of the prosthetic that substitutes for the hand), providing a more natural appearance and protecting the terminal device. This process includes custom fitting and any necessary adjustments.

Purpose

This procedure is aimed at improving the appearance and functionality of an upper extremity prosthesis. It can make the prosthesis look more natural and help to protect the terminal device from wear and tear, thereby extending its lifespan.

Indications

The procedure is indicated for patients who use an upper extremity prosthesis and desire a more natural look, improved functionality, or additional protection for their terminal device. It is appropriate for those who have a prosthetic limb and require enhancement or replacement of the terminal device covering.

Preparation

Patients are generally advised to maintain good hygiene before the procedure and may be asked to arrive with their prosthesis clean and free of any prior coverings. No specific fasting or medication adjustments are typically required. An assessment of the prosthetic device may be conducted to ensure proper fitting.

Procedure Description

1. Initial Assessment: The healthcare provider assesses the current condition of the prosthetic device.
2. Selection: A prefabricated glove of appropriate material and size is selected.
3. Fitting: The glove is carefully fitted over the terminal device of the prosthesis.
4. Adjustment: Minor adjustments are made to ensure a snug fit and optimal appearance.
5. Final Check: The provider ensures that the glove fits comfortably and properly.

Tools and equipment include the prosthetic glove, fitting tools, and adjustment instruments. No anesthesia or sedation is necessary.

Duration

The procedure typically takes around 30 to 60 minutes, depending on the complexity of the adjustments required.

Setting

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

Personnel

The healthcare professionals involved usually include a prosthetist and potentially an assistant or a nurse.

Risks and Complications

The risks associated with this procedure are minimal but may include:

• Discomfort due to improper fit.
• Allergic reaction to the glove material.
• Wear and tear leading to premature replacement. Possible complications such as skin irritation can be managed by adjusting the fit or changing the material of the glove.

Benefits

The expected benefits include improved appearance, enhanced functionality, and increased durability of the prosthetic device. These benefits can often be realized immediately after the procedure.

Recovery

Post-procedure care involves regular cleaning and maintenance of the glove. There is usually no significant recovery time required, and patients can resume normal activities immediately. Follow-up appointments may be scheduled to ensure that the glove remains in good condition and fits well.

Alternatives

• Customized Prosthetic Gloves: Tailored to fit the specific dimensions of the prosthetic device.
  • Pros: Perfect fit, customizable materials.
  • Cons: More expensive, longer production time.
• No Glove: Some patients may opt not to use a glove and leave the terminal device exposed.
  • Pros: No additional cost, simple maintenance.
  • Cons: Less natural appearance, potential for faster wear on the terminal device.

Patient Experience

Patients might experience a brief adjustment period where they get used to the new feel of the glove on their prosthetic device. They might notice the prosthesis feels more secure and looks more natural. Pain is typically not an issue, but if discomfort arises, it can often be managed with minor adjustments or changing the glove material.