Name of the Procedure:

Axillary Crutch Extension
Common name(s): Crutch Extension
Technical/medical term: Axillary Crutch Extension (HCPCS Code: L0978)

Summary

An axillary crutch extension is an add-on accessory used to lengthen axillary crutches, providing increased height to support users who need extra length due to their height or recovery requirements. This ensures the user can achieve the correct posture and balance when using crutches.

Purpose

Axillary crutch extensions are used to address the need for customized length in crutches to ensure optimal posture and mobility support. The goal is to enhance stability, support efficient ambulation, and prevent potential musculoskeletal issues due to improper crutch height.

Indications

• Individuals who are taller than the standard crutch adjustment range.
• Patients who have undergone surgeries or experienced injuries affecting their lower extremities.
• Users who find standard crutches inadequate for proper posture and balance.

Preparation

• The patient should wear comfortable clothing, preferably what they would wear when using crutches.
• No specific diagnostic tests are required; however, a height measurement is essential.
• The crutches should be examined for compatibility with the extension accessory.

Procedure Description

1. Measurement: Determine the user’s height and the corresponding crutch length required.
2. Preparation: Ensure the crutches are clean and check for any damage.
3. Installation: Align the extension with the crutch's bottom section and secure it using the provided bolts or clips.
4. Adjustment: Set the extension height appropriately and lock it in place.
5. Final Check: Verify the secure fitting and test the crutches for stability and balance.

Tools and Equipment: Wrenches or screwdrivers (if necessary), height-adjustable axillary crutch extensions, and the pre-existing crutches.

Duration

Typically, the entire process takes about 15-30 minutes.

Setting

The procedure is usually performed in an outpatient clinic, physical therapy office, or home care setting.

Personnel

• Certified medical professionals such as physical therapists, orthopedic technicians, or trained medical staff.

Risks and Complications

• Minor risks such as improper fitting leading to instability.
• Uncommon complications can include falls or increased discomfort if incorrectly adjusted.

Benefits

• Provides the correct crutch height for enhanced mobility.
• Promotes better posture and reduces the risk of secondary injuries.
• Can be adjusted quickly and is relatively inexpensive.

Recovery

• No specific recovery period; users can immediately benefit from well-fitted crutches.
• Follow-up: Occasional check-ups may be recommended to adjust for wear and tear.

Alternatives

• Custom-made crutches tailored to the user’s height.
• Automated or technologically advanced crutches.
• Pros and Cons: Custom-made crutches are more expensive but may offer better personalization.

Patient Experience

• Users typically feel more comfortable and secure with correctly extended crutches.
• Pain Management: Less discomfort due to improved posture and proper height adjustment.
• The entire fitting process is quick, and any immediate discomfort should be reported to adjust the extension.