Knee Orthosis Procedure (HCPCS K0901)

Name of the Procedure:

• Common Name: Knee Brace
• Technical Term: Knee Orthosis (KO), Single Upright, Thigh and Calf, with Adjustable Flexion and Extension Joint (Unicentric or Polycentric), Medial-Lateral and Rotation Control, with or without Varus/Valgus Adjustment, Prefabricated, Off-The-Shelf

Summary

A Knee Orthosis (KO) is a prefabricated knee brace designed to support and stabilize the knee. It features adjustable joints for controlling knee movement and can manage medial-lateral and rotational positioning. This device is often used to help with knee injuries, arthritis, or post-surgery recovery.

Purpose

• Medical Conditions: Supports knee injuries, ligament instabilities, osteoarthritis, and post-operative recovery.
• Goals: To stabilize the knee, control its range of motion, reduce pain, and facilitate safe physical activity.

Indications

• Symptoms: Knee pain, swelling, instability, restricted movement.
• Conditions: ACL/PCL injuries, meniscus tears, ligament strains, postoperative support.
• Criteria: Patients requiring knee stabilization and controlled movement due to injury, surgery, or chronic conditions.

Preparation

• Pre-Procedure Instructions: Follow healthcare provider's advice on activities and medications. No specific restrictions unless directed otherwise.
• Assessments: Physical examination of the knee, imaging studies (X-rays, MRI) as required.

Procedure Description

• Step-by-Step:
  1. Initial Assessment: A healthcare provider examines the knee to identify the appropriate type of orthosis.
  2. Custom Fitting: The prefabricated knee brace is adjusted to fit the patient's thigh and calf securely.
  3. Adjustment: The flexion and extension joints are set to the recommended angles. Medial-lateral and rotational controls are configured.
  4. Education: Patients are instructed on how to properly wear and maintain the brace.
• Tools/Equipment: Prefabricated knee orthosis with adjustable joints.
• Anesthesia: Not applicable.

Duration

• Procedure Time: Typically 30-45 minutes for fitting and instruction.

Setting

• Location: Outpatient clinic or orthopedic office.

Personnel

• Healthcare Professionals: Orthopedic specialist, physical therapist, or trained medical staff for fitting and adjustment.

Risks and Complications

• Common Risks: Skin irritation, discomfort, initial difficulty in movement.
• Rare Risks: Pressure sores, improper fitting leading to inadequate support.
• Management: Regular follow-ups to adjust fit and monitor skin condition.

Benefits

• Expected Benefits: Improved knee stability, pain reduction, enhanced mobility.
• Timeline: Benefits usually noticed immediately, with full adjustment within days to weeks.

Recovery

• Post-Procedure Care: Regular check-ups to ensure proper fit; follow specific exercise guidelines.
• Recovery Time: Varies by individual condition; generally, immediate relief with ongoing improvements.
• Restrictions: Avoid activities that risk injury until advised.

Alternatives

• Other Options: Custom-made knee braces, physical therapy, surgical interventions.
• Comparison: Prefabricated braces are cost-effective and immediate, though custom-made braces may offer better fit and additional support for severe cases.

Patient Experience

• During the Procedure: Mild discomfort during fitting, overall manageable.
• After the Procedure: Initial adaptation period with mild discomfort; pain management with over-the-counter pain relievers if necessary.
• Comfort Measures: Adequate padding within the brace, regular breaks to reduce skin irritation.