Name of the Procedure:

Swingaway, removable footrests replacement
Commonly referred to as "Footrest Replacement" or "Swingaway Footrest Replacement" (HCPCS Code K0052).

Summary

This procedure involves replacing the swingaway or detachable footrests on a wheelchair. It's designed to restore or enhance the functionality of the wheelchair by ensuring the footrests are in good working condition.

Purpose

• Medical conditions addressed: Footrest replacement addresses issues such as broken, worn out, or missing footrests on a wheelchair.
• Goals or outcomes: The expected outcomes are improved stability and comfort for the wheelchair user, as well as ensuring the wheelchair remains fully functional.

Indications

• Conditions warranting the procedure: Broken or damaged footrests, worn-out components, or the need for replacement due to lost parts.
• Patient criteria: Any wheelchair user whose footrests are no longer functional, potentially causing discomfort or posing a safety risk.

Preparation

• Pre-procedure instructions: Ensure the wheelchair is clean and accessible for maintenance. No special preparations like fasting are needed.
• Diagnostic tests or assessments: A visual inspection to confirm the need for replacement and compatibility with the new footrests.

Procedure Description

• Step-by-step explanation:
  1. Safety check: Ensure the wheelchair is stable and on a flat surface.
  2. Tool preparation: Gather necessary tools (usually simple hand tools like wrenches or screwdrivers).
  3. Removal: Detach the existing, damaged footrests by unscrewing or unlocking them.
  4. Installation: Align new footrests with the corresponding attachment points.
  5. Secure: Tighten screws or locks to ensure the new footrests are securely attached.
  6. Function check: Test the new footrests for proper operation and stability.
• Tools and equipment: Hand tools, replacement footrests (specific to the wheelchair model).
• Anesthesia or sedation: Not applicable.

Duration

Typically, the procedure takes about 15 to 30 minutes, depending on the wheelchair model and the complexity of the replacement.

Setting

This procedure is commonly performed in settings such as:

• Outpatient clinics
• Home environments
• Specialized wheelchair service centers

Personnel

• Healthcare professionals involved: Often performed by wheelchair technicians or maintenance staff. In some cases, occupational therapists or rehabilitation specialists may be involved.

Risks and Complications

• Common risks: Minimal risk; includes minor injuries like pinched fingers.
• Rare risks: Incorrect installation leading to instability.
• Management: Ensuring proper training and following manufacturer guidelines mitigate risks.

Benefits

• Expected benefits: Improved comfort and safety, enhanced wheelchair usability.
• Realization: Benefits are usually immediate upon proper installation.

Recovery

• Post-procedure care: None specific; users should ensure the screws and locks are regularly checked for tightness.
• Expected recovery time: Immediate resumption of normal use.
• Follow-up: Routine checks during regular wheelchair maintenance visits.

Alternatives

• Treatment options: Using permanent footrests if detachability is not required.
• Pros and cons: Permanent footrests provide stability but lack the flexibility of swingaway or detachable options.

Patient Experience

• During the procedure: The patient can remain seated in a different chair or standing nearby; minimal discomfort involved.
• After the procedure: Generally, users experience immediate improvement in wheelchair functionality. Any initial discomfort usually subsides quickly.