Dynamic adjustable knee extension / flexion device, includes soft interface material
HCPCS code
Name of the Procedure:
Dynamic Adjustable Knee Extension / Flexion Device (HCPCS E1810)
Summary
This procedure involves fitting a patient with a specialized knee device designed to aid knee extension and flexion through adjustable tension. It is commonly used in physical therapy and rehabilitation to improve joint mobility and strength.
Purpose
The main goal is to enhance knee function by allowing controlled movement and gradual improvement in flexibility and strength. It is typically used for patients recovering from knee surgeries or those with conditions that limit knee mobility.
Indications
This procedure is recommended for patients experiencing:
- Limited knee range of motion due to injury, surgery, or chronic conditions like arthritis.
- Muscle weakness around the knee.
- Post-operative rehabilitation.
Preparation
Patients should:
- Wear loose, comfortable clothing to the fitting.
- Provide a detailed medical history, particularly regarding knee injuries or surgeries.
- Undergo a physical assessment to determine the appropriate device settings.
Procedure Description
- Assessment: A healthcare professional evaluates the knee’s range of motion and strength.
- Fitting: The dynamic knee device is applied to the patient's knee.
- Adjustment: The tension and flexion settings are customized to meet the patient’s therapeutic needs.
- Instruction: The patient is taught how to use and adjust the device, including safety protocols.
- Trial: The patient performs initial exercises under supervision to ensure proper usage.
Tools and Equipment
- Dynamic adjustable knee extension/flexion device.
- Measuring tools for knee range of motion.
- Soft interface material for comfort.
Anesthesia or Sedation
Not typically required.
Duration
The fitting and instructional session usually take about 30-60 minutes.
Setting
The procedure is often carried out in an outpatient clinic or physical therapy center.
Personnel
- Physical Therapist or Orthopedic Specialist: Conducts assessment, fitting, and adjustments.
- Medical Assistant: May assist with setup and patient education.
Risks and Complications
Common risks include:
- Discomfort or skin irritation from the device.
- Incorrect usage leading to suboptimal results or minor injuries. Rare but possible complications:
- Joint strain or muscle pain due to improper tension settings.
- Development of pressure sores if the device does not fit correctly. Management of complications:
- Adjusting device settings or materials.
- Providing alternative therapeutic methods if issues persist.
Benefits
- Enhanced knee mobility and strength.
- Accelerated rehabilitation process.
- Non-invasive with immediate adjustments possible.
Patients often experience improved knee function within weeks of consistent use.
Recovery
Post-procedure guidelines include:
- Regularly scheduled follow-up visits for adjustments.
- Adhering to prescribed physical therapy exercises.
- Monitoring for any discomfort or issues and reporting them immediately.
Expected recovery time varies, typically ranging from a few weeks to several months depending on the underlying condition.
Alternatives
Other treatment options:
- Manual physical therapy.
- Static knee braces.
- Surgical intervention (for severe cases).
Pros and Cons
- Manual Physical Therapy: Pros - Personalized approach. Cons - Requires frequent visits.
- Static Knee Braces: Pros - Simple and cost-effective. Cons - Less dynamic flexibility.
- Surgical Intervention: Pros - Potential for long-term solution. Cons - Invasive with longer recovery.
Patient Experience
During the procedure:
- Patients might feel mild discomfort during the initial fitting and adjustment. After the procedure:
- A sensation of support and controlled movement.
- Mild soreness as the knee adapts to the device. Pain management:
- Over-the-counter pain relievers and adjustments to the device to enhance comfort. Comfort measures:
- Regular monitoring and adjustments by the healthcare team.
This device aims to improve the quality of life by enhancing knee functionality, allowing patients to return to daily activities with increased confidence and reduced pain.