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

1. Assessment: The prosthetist measures the existing terminal device to understand dimensions and requirements.
2. Design: A custom design is created for the glove, considering the shape and size of the terminal device.
3. Fabrication: The glove is crafted using selected materials suited for durability and functionality.
4. Fitting: The fabricated glove is fitted over the terminal device and adjusted for optimal fit and comfort.
5. 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