Name of the Procedure:

Hand Restoration (L6900)

Common Names: Hand prosthesis, Hand reconstruction
Technical/Medical Terms: Hand restoration with glove, partial hand prosthesis, L6900

Summary

Hand restoration with glove (L6900) is a medical procedure designed to create a partial hand prosthesis for individuals missing one or more fingers, but retaining the thumb or at least one finger. The procedure involves casts, shading, and precise measurements to ensure a custom-fit and cosmetically appealing prosthetic hand.

Purpose

This procedure primarily addresses partial hand amputations due to trauma, congenital deformities, or medical conditions. The goals are to restore functionality, improve aesthetics, and enhance the individual’s ability to perform daily activities.

Indications

• Loss of one or more fingers due to trauma or injury
• Partial congenital hand malformations
• Amputation secondary to medical conditions like infections or cancer

Appropriate for patients with functional thumbs or remaining finger(s).

Preparation

• Detailed medical history and physical examination
• Diagnostic assessments, such as X-rays, to evaluate the stump and existing hand structure
• Pre-procedure consultation to discuss goals, expectations, and prosthesis options

Procedure Description

1. Assessment and documentation of the affected hand’s dimensions and remaining structures.
2. Making a cast of the partial hand for a customized mold.
3. Shading and coloring the prosthetic glove to match the patient’s skin tone.
4. Fabrication of the glove which will fit over the partial hand and remaining finger(s).
5. Fitting and adjustments to ensure comfort and functionality.
6. Instruction on the use, care, and maintenance of the prosthesis.

Tools/Equipment: Casting materials, prosthetic materials, shading tools
Anesthesia/Sedation: Typically not required, unless patient preference or minor surgical adjustments are needed.

Duration

The entire process, from initial consultation to final fitting, usually spans several weeks to months, with individual sessions lasting from 30 minutes to a few hours.

Setting

The procedure is typically performed in a specialized prosthetic clinic, rehabilitation center, or sometimes in hospital settings.

Personnel

• Prosthetist
• Occupational Therapist
• Potential involvement of a surgeon (initial consultation)

Risks and Complications

• Discomfort or irritation from the prosthesis
• Allergic reactions to materials
• Improper fit leading to functional limitations
• Psychological adjustment issues

Benefits

• Improved hand aesthetics and function
• Enhanced ability to perform daily tasks
• Boosted self-confidence and psychosocial well-being
• Immediate improvements post-final fitting

Recovery

• Initial adaptation period for getting used to the prosthesis
• Regular follow-ups for adjustments and support
• Ongoing care and maintenance to ensure longevity of the prosthesis

Alternatives

• Custom finger splints
• Surgical options for hand reconstruction
• Non-prosthetic adaptive devices

Pros:

• Customizable and less invasive than surgery
• Immediate use after fitting Cons:
• Requires maintenance and possible future adjustments

Patient Experience

Patients may feel anticipation and excitement before the final prosthesis fitting. Discomfort during casting and initial fitting is minimal. Effective pain management is rarely needed. Post-procedure, patients may experience an adjustment period as they adapt to the feel and function of their new prosthesis. Regular follow-up visits ensure ongoing comfort and satisfaction.