Name of the Procedure:
Addition to Upper Extremity Prosthesis, Glove for Terminal Device, Any Material, Custom Fabricated (L6895)
Common Name(s): Prosthetic glove fitting, Custom prosthetic glove
Summary
This procedure involves custom fabricating a prosthetic glove for the terminal device (hand or hook) of an upper extremity prosthesis. The glove is custom designed to fit over the terminal device, providing a more natural appearance and functional grip.
Purpose
Medical Conditions or Problems Addressed
- Missing upper limb or part of limb
- Terminal device requiring protective covering ##### Goals or Expected Outcomes
- Enhanced aesthetic appearance
- Improved functionality and grip
- Extended life of the prosthetic terminal device
Indications
Symptoms or Conditions
- Amputation or congenital absence of hand
- Wear and tear on the existing terminal device ##### Patient Criteria
- Patients using an upper extremity prosthesis
- Need for a custom-fabricated glove to ensure optimal fit and function
Preparation
Pre-procedure Instructions
- No specific fasting or medication adjustments required ##### Diagnostic Tests or Assessments
- Measurement and fitting sessions to ensure custom fit
- Assessment of patient needs and daily activities
Procedure Description
- Assessment: The prosthetist measures the existing terminal device to understand dimensions and requirements.
- Design: A custom design is created for the glove, considering the shape and size of the terminal device.
- Fabrication: The glove is crafted using selected materials suited for durability and functionality.
- Fitting: The fabricated glove is fitted over the terminal device and adjusted for optimal fit and comfort.
- Adjustment: Any necessary modifications are made to ensure the glove functions as intended.
Tools and Equipment Used
- Measurement tools
- Fabrication materials (e.g., silicone, fabric)
- 3D modeling software (if applicable)
Anesthesia or Sedation
- Not required for this procedure
Duration
- The entire process, including fitting and adjustments, typically takes a few weeks.
Setting
- Performed in a prosthetics and orthotics clinic
Personnel
- Certified Prosthetist
- Prosthetic Technician (if required)
- Support staff for fittings and adjustments
Risks and Complications
Common Risks
- Minor discomfort during initial fittings ##### Rare Risks
- Skin irritation
- Improper fit leading to decreased functionality ##### Management
- Follow-up appointments for adjustments
- Advice on skin care and maintenance
Benefits
- Improved cosmetic appearance
- Enhanced functionality and grip
- Increased comfort and confidence for the patient
- Protection of the terminal device
Recovery
Post-procedure Care
- Regular cleaning and maintenance of the prosthetic glove
- Attending follow-up appointments for adjustments and checks ##### Expected Recovery Time
- Immediate use after fitting with routine maintenance ##### Restrictions or Follow-up
- Follow-up appointments as needed to ensure fit and function remain optimal
Alternatives
Other Treatment Options
- Standard, non-custom prosthetic gloves
- No glove at all ##### Pros and Cons
- Standard Glove: Easier to obtain but may not fit as well or last as long. Less natural appearance.
- No Glove: Less protection for the terminal device and potentially lower aesthetic appeal.
Patient Experience
During the Procedure
- Multiple fitting sessions for measurements and adjustments
- Generally comfortable and non-invasive process ##### After the Procedure
- Enhanced prosthetic function and appearance
- Some mild initial discomfort or adjustment period ##### Pain Management and Comfort
- Minor adjustments may be needed to alleviate discomfort
- Routine care and checks to maintain comfort and functionality