Clinical Context
A patient with extensive hypertrophic scarring or burn contractures of the lower trunk and proximal thighs is referred for custom compression therapy following burn reconstruction or conservative burn care. Typically the patient is seen in an outpatient burn clinic, plastic surgery clinic, or physical medicine and rehabilitation clinic. The clinical workflow includes assessment of scar maturation and measurement for a custom-fabricated compression panty garment (A6511) to provide sustained pressure across the lower trunk and proximal thigh regions. A certified prosthetist/orthotist or certified fitter takes body measurements and documents scar locations, skin integrity, and any areas requiring pressure redistribution. The garment is ordered by the treating physician (e.g., burn surgeon or plastic surgeon) with specification for custom fabrication; documentation in the medical record includes diagnosis, measurable scar characteristics, sizing/measurement forms, and medical necessity rationale. Upon delivery, the fitter verifies fit, instructs the patient on donning/doffing, skin inspection, wear schedule, and care. Follow-up visits assess fit, scar response, need for adjustments, and measurement for replacement. Typical site of service: outpatient clinic, durable medical equipment (DME) supplier location, or specialized burn/rehab center. Typical patient scenario: an adult with post-burn hypertrophic scarring across the abdomen and upper thighs after full-thickness burns and grafting, now 6–12 months post-injury, requiring a custom lower-trunk compression panty to manage scar hypertrophy and prevent contracture.