Name of the Procedure:

Hip Orthosis, Abduction Control of Hip Joint, Postoperative Hip Abduction Type, Custom Fabricated (HCPCS Code: L1685)

Summary

This is a custom-made device designed to support the hip joint after surgery. It helps to keep the hip in the correct position to ensure proper healing and function.

Purpose

The primary aim is to maintain the hip joint in proper alignment, particularly after surgical procedures. This orthosis helps control movement to prevent dislocation, supports healing, and reduces postoperative pain and inflammation.

Indications

• Recent hip surgery, such as hip replacement or repair of a fractured hip
• Conditions that require precise positioning of the hip for recovery
• Patients needing restricted movement to avoid hip dislocation
• Cases where custom-fabricated support is necessary due to patient-specific anatomy

Preparation

• The healthcare provider will inform you about any specific preparation steps.
• You may need to undergo imaging tests, such as X-rays or MRIs, to create a precise fit for the ortho device.
• Inform your doctor about current medications; some may need adjustment.

Procedure Description

1. Assessment: An initial consultation to assess the patient’s specific needs.
2. Imaging and Measurements: Detailed imaging and measurements of the hip and pelvis.
3. Fabrication: The orthosis is custom-made based on the patient’s anatomical data.
4. Fitting: The device is fitted and adjusted to ensure proper alignment and comfort.
5. Instruction: The patient receives guidance on how to use and care for the orthosis.

Tools/Equipment Used:

• Imaging equipment (X-ray/MRI)
• Measurement tools
• Custom-fabrication materials (e.g., thermoplastics, metals)

Anesthesia:

• None required for the fitting process, though anesthesia would have been used in the prior surgical procedure requiring the orthosis.

Duration

• The fitting process typically takes 1-2 hours spread over multiple visits.

Setting

• Orthopedic clinic or specialized outpatient facility.

Personnel

• Orthopedic surgeon
• Orthotist (a specialist in making and fitting orthotic devices)
• Nurse or medical technician

Risks and Complications

• Risks of skin irritation or pressure sores from the device
• Discomfort or difficulty in movement
• Potential for inadequate control of hip position

Management of Complications:

• Regular adjustments and follow-up to ensure proper fit and function
• Patient education on proper usage and skin care

Benefits

• Proper alignment of the hip joint, aiding in faster recovery
• Reduced risk of dislocation or improper healing
• Significant reduction in postoperative pain and inflammation

Recovery

• Patient should follow the orthotist’s instructions regarding wearing times and care.
• Regular follow-ups for adjustments.
• Recovery times vary based on the underlying condition but generally align with the recovery period of the initial surgery (usually several weeks).

Alternatives

• Standard, non-customized orthosis
• Physical therapy for hip stabilization
• Surgical revisions in rare cases where orthosis is not effective

Pros and Cons:

• Custom Fabrication: Provides precise fit but requires more time and resources.
• Standard Orthosis: Easily available but might not offer the exact support needed.

Patient Experience

• Initial discomfort while getting used to the device.
• Mild to moderate restriction in mobility, which improves over time.
• Pain management will be addressed as part of the postoperative care plan.
• Regular adjustment visits might be required to ensure the optimal fit and function.

By following these guidelines and cooperating with healthcare providers, patients can maximize the benefits of the hip orthosis and contribute to a smooth recovery.