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Knee orthosis, elastic with joints, prefabricated, off-the-shelf

HCPCS code

Name of the Procedure:

Knee Orthosis, Elastic with Joints, Prefabricated, Off-the-Shelf (L1812)

Summary

This procedure involves fitting a pre-made, elastic knee brace with joints to provide support and stability to the knee joint. The brace is designed for off-the-shelf use, meaning it is available for immediate use without the need for customization.

Purpose

Conditions Addressed:
  • Knee instability or weakness
  • Ligament injuries
  • Mild to moderate osteoarthritis
  • Post-operative support
Goals and Expected Outcomes:
  • To provide support and stabilization to the knee
  • To alleviate pain and discomfort
  • To enhance mobility and function
  • To prevent further knee injury

Indications

Specific Symptoms or Conditions:
  • Instability or giving way of the knee
  • Swelling and pain in the knee joint
  • Assessment of mild to moderate knee osteoarthritis
  • During rehabilitation following knee surgery
Patient Criteria:
  • Individuals with non-severe knee conditions
  • Patients needing temporary knee support
  • Those suitable for non-custom medical devices

Preparation

Pre-procedure Instructions:
  • No special preparations generally required.
  • Patients may be advised to wear loose, comfortable clothing.
  • A brief assessment by a healthcare provider to ensure proper fit and appropriateness of the orthosis.

Procedure Description

  1. Initial Assessment: Healthcare provider evaluates the patient's knee condition.
  2. Sizing & Fitting: The appropriate size of the knee orthosis is selected.
  3. Application: The elastic knee brace is placed around the knee.
  4. Adjustment: The joints and straps are adjusted for optimal support and comfort.
Tools and Equipment:
  • Prefabricated knee orthosis with elastic and joints
  • Measuring tape for sizing
  • Elastic straps and Velcro fasteners

Duration

Typically, fitting and adjustment may take about 15-30 minutes.

Setting

Often performed in:

  • Outpatient clinics
  • Physical therapy centers
  • Orthopedic offices

Personnel

  • Physical therapist
  • Orthopedic specialist
  • Medical assistant

Risks and Complications

Common Risks:
  • Skin irritation or discomfort
  • Possible allergic reactions to materials
Rare Risks:
  • Reduced blood circulation if the orthosis is too tight
  • Muscle atrophy if worn for excessively long periods
Management:
  • Immediate adjustment or removal if discomfort occurs
  • Monitoring and follow-up appointments

Benefits

Expected Benefits:
  • Immediate support and stabilization of the knee
  • Reduction in pain and improved mobility
  • Non-invasive and quick application

Recovery

Post-procedure Care:
  • Regularly check for skin irritation or signs of discomfort.
  • Follow-up appointments to monitor progress and adjust the orthosis if necessary.
Expected Recovery Time:
  • Immediate functional improvement.
  • Continued usage as advised by healthcare provider, usually for several weeks or months.

Alternatives

Other Treatment Options:
  • Customized knee braces
  • Physical therapy
  • Surgical intervention (for severe cases)
Pros and Cons:
  • Customized Knee Braces: More tailored fit but are more expensive and take longer to prepare.
  • Physical Therapy: May improve muscle strength and function but may not provide immediate stabilization.
  • Surgical Intervention: Offers a permanent solution but involves higher risks and longer recovery time.

Patient Experience

During the Procedure:
  • Slight pressure as the orthosis is fitted.
  • Overall mild discomfort, if any.
After the Procedure:
  • Possible light soreness as the knee adapts to the support.
  • Significant alleviation of knee instability and pain.
  • Pain management may include over-the-counter pain relievers and applying ice packs as needed.

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