Name of the Procedure:

Hip Orthosis with Bilateral Thigh Cuffs and Adjustable Abductor Spreader Bar
Commonly known as:

• Hip abduction orthosis
• Hip stabilizer brace
  Technical/Medical term:
• HCPCS Code L1652

Summary

The hip orthosis with bilateral thigh cuffs and adjustable abductor spreader bar is a medical device designed for adults. It supports and stabilizes the hip joint and surrounding areas. The device is prefabricated, meaning it's pre-made to certain specifications but can be adjusted to fit the patient. Fitting and adjustments are carried out by a healthcare professional to ensure comfort and effectiveness.

Purpose

This hip orthosis is primarily used to:

• Stabilize the hip joint post-surgery or injury.
• Prevent the hip from dislocating.
• Aid in the recovery and rehabilitation process.
• Improve mobility by providing necessary support.

Indications

The hip orthosis is indicated for:

• Post-surgical support for hip replacement or reconstruction.
• Hip instability or dislocation.
• Severe hip joint arthritis.
• Conditions requiring immobilization to promote healing, such as fractures.
• Patients needing controlled hip abduction and alignment.

Preparation

Before receiving the hip orthosis, patients should:

• Follow any specific instructions given by their healthcare provider.
• Undergo a thorough evaluation of their hip condition.
• Ensure that any diagnostic imaging (like X-rays or MRIs) is up-to-date.
• Wear comfortable clothing that allows easy access to the hip area.

Procedure Description

1. Initial Assessment: A healthcare professional evaluates the patient’s hip condition and takes necessary measurements.
2. Selection of Orthosis: A suitable prefabricated orthosis is chosen based on the patient's size and condition.
3. Fitting: The orthosis is placed on the patient, ensuring that the thigh cuffs and abductor spreader bar are correctly positioned.
4. Adjustment: The spreader bar is adjusted to maintain the required hip abduction angle.
5. Education: The patient and/or caregiver is educated on how to wear, adjust, and maintain the orthosis.

Tools/Equipment Used:

• Prefabricated hip orthosis device
• Measurement tools for fitting
• Adjustment tools for the spreader bar

Anesthesia/Sedation:

• None required for fitting and adjustment.

Duration

The fitting and adjustment process generally takes about 30 to 60 minutes.

Setting

The procedure is typically performed in an outpatient clinic or a specialized orthotics and prosthetics facility.

Personnel

• Orthopedic specialist or orthopedic surgeon
• Certified orthotist
• Physical therapist (for follow-up care and rehabilitation guidance)

Risks and Complications

• Discomfort or skin irritation from the cuffs.
• Improper fit leading to ineffective support or additional strain on the hip.
• Potential allergic reactions to materials used in the orthosis.
• Limited mobility due to reliance on the orthosis.

Benefits

• Stabilizes the hip joint, reducing pain and discomfort.
• Promotes proper healing and rehabilitation.
• Reduces the risk of further injury or dislocation.
• Improves mobility and functionality over time.

Recovery

• Care Instructions: Regular cleaning and inspection of the orthosis. Periodic adjustments may be needed.
• Recovery Time: Varies based on the underlying condition but generally ranges from several weeks to months.
• Restrictions: Avoid strenuous activities and follow physical therapy regimens.
• Follow-up: Schedule regular appointments for re-evaluation and adjustment of the orthosis as needed.

Alternatives

• Conservative Management: Physical therapy, medication, and lifestyle modification.
• Surgical Intervention: Hip replacement or reconstruction surgery.
• Other Bracing Options: Custom-made braces or alternative prefabricated designs.
  Pros and Cons:
• Conservative Management: Less invasive but may not provide adequate stabilization.
• Surgical Intervention: More definitive solution but involves greater risks and longer recovery.
• Other Bracing Options: May offer more customization but can be more expensive or less readily available.

Patient Experience

During the fitting, patients might experience:

• Mild discomfort during initial adjustments.
• A sensation of tightness around the thighs and hips. Post-procedure:
• Improved stability and reduced pain.
• Potential mild discomfort as they adjust to wearing the orthosis regularly. Pain Management: Over-the-counter pain relievers if needed, and following proper fitting instructions can greatly enhance comfort.