Name of the Procedure:

Common Name: Crutch Substitute
Technical Term: Lower Leg Platform (with or without wheels), each
HCPCS Code: E0118

Summary

A crutch substitute with a lower leg platform is a mobility aid designed to support the lower leg, making it easier for individuals with lower extremity injuries or disabilities to move around without putting weight on the affected leg. This device can come with or without wheels and allows for hands-free mobility in some designs.

Purpose

The primary purpose of this device is to provide stability and mobility to individuals who have temporary or permanent conditions affecting their lower legs. It helps to bear the weight that would otherwise be supported by crutches, reducing upper body strain and enhancing comfort.

Goals and expected outcomes include:

• Enhanced mobility and independence
• Reduced upper body strain compared to traditional crutches
• Promotion of healing by allowing the injured leg to rest

Indications

This procedure is suitable for:

• Individuals with fractures, sprains, or surgery of the lower leg
• Patients with conditions such as severe arthritis or other degenerative joint diseases affecting the lower extremities
• Any condition where weight-bearing on the lower leg is not advisable

Preparation

Patients are often advised to:

• Ensure the device is appropriately fitted by a healthcare professional
• Perform a practice session to get accustomed to its use
• Adjust medications if necessary, under the guidance of a healthcare provider
• Undergo any necessary imaging or diagnostic tests to confirm the indication for use

Procedure Description

Here is a detailed step-by-step explanation of using a crutch substitute:

1. Fitting: A healthcare provider assesses the appropriate size and fits the device to the patient.
2. Training: The patient is instructed on how to safely use the device, including mounting the lower leg platform and maneuvering.
3. Safety Tips: Guidance on how to avoid falls and ensure stability while using the device.

Typically, no anesthesia or sedation is required.

Duration

Fitting and training usually takes about 30 minutes to an hour.

Setting

This procedure is commonly performed in:

• Outpatient clinics
• Rehabilitation centers
• Orthopedic offices

Personnel

The following healthcare professionals may be involved:

• Rehabilitation specialist
• Orthopedic technician
• Physical therapist

Risks and Complications

Some risks associated with the use of a crutch substitute include:

• Falls due to instability
• Discomfort or improper weight distribution causing strain
• Skin irritation or pressure sores on the platform area

Benefits

Expected benefits include:

• Immediate improvement in mobility
• Decreased pain in the upper body compared to using crutches
• Enhanced ability to perform daily activities independently

Recovery

Post-procedure care and instructions generally include:

• Regular checks and adjustments of the device to ensure proper fit
• Gradual increase in usage as the patient becomes more adept
• Follow-up appointments for monitoring progress and addressing any issues

Alternatives

Other treatment options include:

• Traditional crutches
• Knee scooters
• Wheelchairs

Pros of alternatives:

• Traditional crutches are often more simple and less expensive
• Knee scooters provide similar benefits but may be easier to use for some patients
• Wheelchairs offer great support but less mobility for active patients

Cons of alternatives:

• Crutches can cause upper body strain
• Knee scooters may be less portable
• Wheelchairs typically require more space and are less convenient for everyday use

Patient Experience

Patients might feel:

• Initial discomfort as they adjust to the new device
• Improved comfort and less fatigue over time
• Confidence as mobility and independence increase

Pain management:

• Follow advice on ergonomics and posture
• Use of padding on the platform to improve comfort
• Regular breaks to prevent overuse