Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS code
Name of the Procedure:
Above Elbow Prosthesis (External Power)
- Technical Terms: Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device (L6950)
Summary
An external power prosthesis for individuals who have had an amputation above the elbow. The device includes a custom-fitted inner socket, removable humeral shell, and a motorized elbow joint, all controlled by a switch mechanism. It is powered by batteries and includes cables and a charger.
Purpose
This procedure addresses the loss of an upper limb above the elbow. The goal is to restore partial arm function, allowing the user to perform daily tasks more independently and improve their overall quality of life.
Indications
- Limb amputation above the elbow (transhumeral amputation).
- Patients seeking an externally powered prosthesis due to higher functionality demands.
- Suitable for individuals who have failed or were unsatisfied with more passive prosthetic options.
Preparation
- No fasting required.
- Patients should undergo a thorough medical assessment and diagnostic tests to confirm eligibility.
- Pre-fitting consultations to discuss needs, expectations, and customization options.
Procedure Description
- Initial Consultation: Discuss needs and custom options.
- Molding and Custom Fitting: Create a mold of the residual limb for accurate prosthesis fit.
- Fabrication: Construct the prosthetic with a molded inner socket and a removable humeral shell.
- Assembly: Attach the internal locking elbow, forearm, and switch mechanisms.
- Installation of Components: Integrate the motors, cables, batteries, and charger.
- Adjustment and Training: Fine-tune fit and functionality. Train the patient on the use and maintenance of the device.
Duration
The entire process from fitting to final adjustments may take several weeks, with each session lasting from one to several hours.
Setting
Performed at specialized prosthetic clinics or rehabilitation centers.
Personnel
- Certified Prosthetist
- Rehabilitation specialists
- Occupational therapists
- Technical support for device setup
Risks and Complications
- Skin irritation or sores from socket.
- Device malfunction or mechanical failure.
- Battery issues.
- Psychological adjustment to the new prosthesis.
- Proper device handling and routine maintenance to avoid complications.
Benefits
- Improved arm functionality.
- Enhanced ability to perform daily tasks.
- Increased independence and quality of life.
- Psychological benefits from regained limb function.
Recovery
- Immediate post-fitting care involves adjusting to the new device.
- Learning period for operating the prosthesis effectively.
- Regular follow-ups for adjustments and maintenance.
- Recovery includes physical therapy sessions for optimizing use.
Alternatives
- Body-powered prosthesis: Less functionality but does not require batteries.
- Passive prostheses: No active movement, primarily for cosmetic appearance.
- Rehabilitation without a prosthesis: Focus on adapting using the residual limb and other body parts.
Patient Experience
Patients may initially experience discomfort as they adjust to the fit and weight of the prosthesis. Training sessions will help them learn to control the device. Pain management includes regular consultations and adjustments. Long-term user comfort and satisfaction are typically achieved through continuous care and follow-ups.