Name of the Procedure:

Prosthetic Sheath/Sock with Gel Cushion Layer (L8417)
Common Names: Prosthetic sock, prosthetic liner
Technical/Medical Term: Gel-cushioned prosthetic interface

Summary

This is a prosthetic accessory used by individuals who have undergone limb amputation. It is a sheath or sock that fits over the residual limb, often incorporating a gel cushion layer to improve comfort and fit. The sock can be used for both below-knee and above-knee prosthetics.

Purpose

The prosthetic sheath/sock with a gel cushion layer addresses discomfort and fit issues associated with prosthetic limbs. The gel cushioning helps to evenly distribute pressure, reduce friction, and protect the skin on the residual limb.

• Goals: Improve comfort, enhance prosthetic fit, reduce skin irritation and pressure sores.

Indications

• Symptoms/Conditions: Persistent discomfort or pain from the prosthetic limb, skin irritation or pressure sores on the residual limb.
• Patient Criteria: Individuals with above-knee or below-knee amputations experiencing problems with standard prosthetic interfaces.

Preparation

• Pre-procedure Instructions: Ensure the residual limb is clean and dry before wearing the sock.
• Diagnostic Tests: No specific tests required, but regular follow-up and skin assessments by a healthcare provider are recommended.

Procedure Description

1. Step-by-Step:
   1. The patient rolls the sheath/sock onto the residual limb.
   2. Adjust the sock for a snug fit, ensuring that the gel layer is aligned correctly to cushion prominent areas.
   3. The prosthetic limb is then attached over the sock.

• Tools/Equipment: Prosthetic sock with gel layer.
• Anesthesia/Sedation: Not applicable.

Duration

• Typically, fitting the sock takes only a few minutes daily.

Setting

• This procedure is performed by the patient at home after initial training and fitting by a prosthetist or healthcare provider.

Personnel

• Healthcare professionals involved: Prosthetists, rehabilitation specialists, and primary care providers for initial training.

Risks and Complications

• Common Risks: Minor skin irritation, allergic reaction to materials.
• Rare Risks: Infection if the sock is not kept clean, significant pressure sores.

Benefits

• Expected benefits: Improved comfort, better prosthetic fit, reduced skin irritation.
• Timeline: Patients typically experience immediate relief and improved comfort.

Recovery

• Post-Procedure Care: Regular cleaning of the prosthetic sock to maintain hygiene, monitoring for skin issues.
• Recovery Time: Immediate use with potential benefits noticed right away.
• Follow-up: Regular check-ups with a prosthetist.

Alternatives

• Other Options: Different types of prosthetic liners, such as silicone or foam liners.
• Pros and Cons:
  • Gel liners typically offer better comfort and pressure distribution.
  • Alternative liners may be more affordable or easier to maintain but might not provide the same level of comfort.

Patient Experience

• During the Procedure: Generally, no discomfort. The patient fits the sock themselves.
• After the Procedure: Increased comfort, potential improvement in mobility. Any initial skin irritation should be reported to a healthcare provider.
• Pain Management: Not typically needed, but over-the-counter remedies can be used for minor skin irritation if it occurs. Proper hygiene and follow-up are critical for long-term comfort.