Name of the Procedure:

Common Name(s): Footrest Replacement
Technical/Medical Term: Footrest, Upper Hanger Bracket, Replacement Only, Each (HCPCS Code K0044)

Summary

A Footrest Replacement procedure involves replacing the upper hanger bracket of a wheelchair's footrest, providing support and comfort to the patient's legs and feet while using the wheelchair.

Purpose

This procedure is performed to maintain or restore proper support for the feet and legs of wheelchair users, ensuring optimal comfort and functionality. It addresses issues like wear and tear, damage, or mechanical failure of the existing footrest hanger bracket.

Indications

• Worn-out or damaged footrest hanger bracket
• Difficulty in footrests retaining position
• Patient discomfort or leg positioning issues
• Routine wheelchair maintenance

Preparation

• No special preparations such as fasting or medication adjustments are needed.
• Ensure the wheelchair is clean and accessible.
• Assess the wheelchair and patient's requirements to ensure the correct replacement part is used.

Procedure Description

1. Examine the current footrest hanger bracket for damage or wear.
2. Remove the existing footrest hanger bracket from the wheelchair.
3. Attach the new upper hanger bracket securely to the footrest mechanism.
4. Ensure that the new bracket is properly aligned and adjusted for the patient's comfort.
5. Test the footrest for stability and functionality.

Tools and equipment used may include basic hand tools like screwdrivers and wrenches. No anesthesia or sedation is required.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The replacement can be performed in various settings such as a hospital, outpatient clinic, rehabilitation center, or even at the patient's home.

Personnel

• Wheelchair technician or medical equipment specialist
• Occasionally, a healthcare provider may be present for assessment

Risks and Complications

• Improper installation leading to instability
• Misalignment causing discomfort
• Rare risk of injury if the footrest fails

Benefits

• Restored or improved comfort and support
• Enhanced wheelchair functionality
• Improved patient mobility and safety The benefits are usually realized immediately after the replacement.

Recovery

• No specific recovery process is needed.
• Patient should use the wheelchair as usual and monitor for comfort and stability.
• Schedule a follow-up appointment if any issues arise.

Alternatives

• Retrofitting or repairing the existing footrest bracket
• Using an alternative type or model of footrest
• Custom footrest modifications

Pros and cons vary based on the wheelchair model and the specific needs of the patient.

Patient Experience

During the replacement, the patient may need to transfer to another seating option briefly. The process is generally straightforward and painless. Comfort measures include ensuring the correct fit and alignment of the new footrest assembly.