Name of the Procedure:

Common Name: Prosthetic Sock Fitting
Technical Term: Prosthetic Sock, Single Ply, Fitting, Upper Limb, Each (HCPCS Code: L8485)

Summary

A prosthetic sock fitting for the upper limb involves fitting a single-ply prosthetic sock on the residual limb of a patient. This helps in improving the comfort and fit of an upper limb prosthetic.

Purpose

The primary purpose of fitting a prosthetic sock is to provide a cushioning layer between the residual limb and the prosthetic device, which helps in:

• Reducing friction and skin irritation.
• Improving prosthetic fit and comfort.
• Enhancing overall prosthetic function.

Indications

• Symptoms/Conditions: Discomfort, pain, or skin irritation from a prosthetic device.
• Patient Criteria: Suitable for patients with an upper limb amputation who wear a prosthesis, particularly those experiencing issues with prosthetic fit.

Preparation

• Pre-Procedure Instructions: Ensure that the residual limb is clean and dry before the fitting.
• Diagnostic Tests/Assessments: None typically required specifically for the sock fitting; however, regular follow-up with a prosthetist is beneficial for comprehensive prosthetic care.

Procedure Description

1. Assessment: The prosthetist assesses the residual limb for size, shape, and any skin issues.
2. Selection: A single-ply prosthetic sock appropriate for the limb size is selected.
3. Fitting: The sock is placed over the residual limb, ensuring a snug fit without excessive wrinkles.
4. Adjustment: The prosthetist makes any necessary adjustments to ensure comfort and proper fit within the prosthetic device.

• Tools/Equipment: Single-ply prosthetic socks, measuring tape.
• Anesthesia/Sedation: Not applicable.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Prosthetic fittings are commonly performed in outpatient clinics specializing in prosthetics and orthotics.

Personnel

• Healthcare Professionals Involved: Certified prosthetist.

Risks and Complications

• Common Risks: Minor skin irritation if the sock is too tight or not properly fitted.
• Rare Risks: Persistent discomfort if underlying issues with prosthetic alignment are not addressed.

Benefits

• Expected Benefits: Enhanced comfort and reduced skin irritation, leading to better prosthesis use.
• Realization Time: Benefits are often immediate upon proper fitting.

Recovery

• Post-Procedure Care: Regular cleaning and care of the prosthetic sock to maintain hygiene.
• Expected Recovery Time: No specific recovery time; adjustments to the sock may be needed over time.
• Restrictions/Follow-Up: Regular follow-up with the prosthetist to assess fit and function.

Alternatives

Other Treatment Options:

• Thicker or multi-ply prosthetic socks.
• Custom-fabricated prosthetic liners.
• Adjustments or modifications to the prosthetic device itself.

Pros and Cons:

• Thicker/Multiplex Socks: Provide more cushioning but may affect the fit of the prosthesis.
• Custom Liners: Offer a tailored fit but may be more expensive and require more maintenance.
• Prosthetic Adjustments: Can correct fitting issues but may involve more extensive changes to the prosthetic device.

Patient Experience

• During Procedure: Minimal discomfort; patients may feel slight manipulation of the residual limb.
• After Procedure: Improved comfort. Minor adjustments may occasionally be needed. Pain is generally minimal and can be managed with simple analgesics if necessary.