Name of the Procedure:

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (Common name: Lower Arm Prosthesis Addition, Medical term: HCPCS L7400)

Summary

In simple terms, this procedure involves adding a new, lighter, and more advanced component, typically made from titanium or carbon fiber, to a prosthetic arm. This new addition aims to improve the functionality and comfort of the prosthesis for individuals with amputations below the elbow or wrist.

Purpose

This procedure addresses the need for a more functional and lightweight prosthetic arm. It helps individuals with below-elbow or wrist disarticulation by enhancing their mobility and ability to perform daily activities. The ultimate goal is to improve the quality of life and ease of use of the prosthesis.

Indications

This procedure is particularly suitable for:

• Patients with below-elbow or wrist amputation.
• Individuals experiencing discomfort or functional limitations with their current prosthesis.
• Patients looking for an upgrade to lighter and more durable prosthetic materials like titanium or carbon fiber.

Preparation

• Patients may need to undergo a fitting session to determine the size and type of prosthetic component.
• No special fasting or medication adjustments are typically required.
• An assessment of the residual limb to ensure it is in good condition for fitting the new prosthesis.

Procedure Description

1. Assessment: The prosthetist evaluates the residual limb and current prosthesis.
2. Fitting: The new ultralight component (made from titanium or carbon fiber) is customized to the patient’s specific needs.
3. Attachment: The new component is securely attached to the existing prosthetic arm.
4. Adjustment: Final adjustments are made to ensure comfort and functionality.

Tools and Equipment:

• Prosthetic fitting tools
• Specialized ultralight prosthetic components

Anesthesia: Not typically required for this add-on procedure.

Duration

The procedure often takes about 1-2 hours, including assessment, fitting, and adjustment.

Setting

This procedure is usually performed in an outpatient clinic or a specialized prosthetic fitting center.

Personnel

• Certified Prosthetist
• Prosthetic Technician

Risks and Complications

• Common: Minor discomfort or irritation at the attachment site.
• Rare: Improper fitting leading to discomfort or reduced functionality, which can usually be corrected with further adjustments.

Benefits

• Enhanced mobility and functionality of the prosthetic arm.
• Increased comfort and reduced strain due to the lighter materials.
• Improved overall quality of life. Benefits are often realized immediately after the fitting and adjustment process.

Recovery

• Immediate use of the prosthesis is typically possible.
• Patients may require a short adjustment period to get used to the new component.
• Follow-up appointments to ensure proper fit and make any necessary adjustments.

Alternatives

• Continuing with the current prosthesis without upgrades.
• Using different types of prosthetic materials and designs. Pros and cons vary; ultralight materials provide better comfort and durability but may be more expensive.

Patient Experience

During the procedure:

• Minimal to no pain as it’s a non-invasive process.
• Expect some minor adjustments and fittings.

After the procedure:

• Most patients report improved comfort and ease of use.
• Pain management is usually unnecessary, but initial minor discomfort may be managed with over-the-counter pain relief.