Name of the Procedure:

Electronic Wrist Rotator
Common Name(s): Electronic Wrist Rotator
Technical/Medical Term: HCPCS Code L7259

Summary

An electronic wrist rotator is a medical device designed to assist individuals who have lost or have limited wrist function. The device is typically used in conjunction with a prosthetic limb and helps achieve the natural rotational movement of the wrist.

Purpose

The primary purpose of the electronic wrist rotator is to restore rotational function to the wrist for individuals with upper limb amputation or severe wrist dysfunction. It enhances the range of motion and function, allowing patients to perform daily activities more independently and effectively.

Indications

• Amputation of the hand or forearm
• Severe wrist dysfunction or paralysis
• Conditions such as stroke, brachial plexus injury, or nerve damage requiring wrist movement assistance

Preparation

• No specific fasting or dietary restrictions are required.
• Patients may need to undergo an evaluation for fitting and proper sizing of the prosthetic device.
• Pre-procedure assessments may include physical exams and possibly imaging studies to ensure compatibility with existing prosthetics.

Procedure Description

1. Initial Assessment: Conducted to determine the suitability of the device for the patient.
2. Customization: An electronic wrist rotator is customized and fitted to the individual's prosthetic limb.
3. Attachment: The device is attached to the prosthetic limb where it mechanically supports wrist rotation.
4. Calibration and Programming: The device is calibrated and programmed to respond to specific controls or myoelectric signals from the patient’s residual limbs.
5. Training: Patients receive training on how to use and control the device, including how to maintain and troubleshoot it.

Duration

The device fitting and training session usually take several hours, split over a couple of follow-up visits for adjustments if necessary.

Setting

• Outpatient clinics
• Specialized prosthetic and orthotic centers

Personnel

• Prosthetist
• Occupational therapist
• Medical technician (for device calibration)
• Physician (for overall supervision)

Risks and Complications

• Mechanical failure or malfunction
• Skin irritation or pressure sores at the attachment site
• Device rejection or incompatibility
• Initial difficulty in learning to use the device

Benefits

• Improved wrist function and range of motion
• Ability to perform daily living activities more independently
• Enhanced quality of life

Recovery

• No significant recovery time is required.
• Patients will need to follow instructions on device care and maintenance.
• Regular follow-up appointments are necessary for adjustments and to monitor progress.

Alternatives

• Manual wrist rotators (non-electronic)
• Functional training for existing limb strength and mobility
• Other types of prosthetic hands with different functionalities
• Occupational therapy for compensatory techniques

Patient Experience

• During the fitting and initial use, patients might experience some discomfort, which usually subsides as they get accustomed to the device.
• Pain management and comfort measures include adjustments to fit and cushioning within the prosthetic socket.
• Training is provided to help ensure the patient can operate the device confidently and safely.