Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Common Name(s): Knee Brace, Locking Knee Orthosis
Technical/Medical Term: Knee Orthosis, Locking Knee Joint(s), Positional Orthosis, Prefabricated, Including Fitting and Adjustment (HCPCS Code L1831)
Summary
A prefabricated knee orthosis is a specialized knee brace designed to support and stabilize the knee joint. It includes adjustable locking knee joints to control knee position and movement. Fitting and adjustment are part of the process to ensure proper alignment and function.
Purpose
Medical Conditions: This knee orthosis is used to manage knee instability, ligament injuries, post-surgical stabilization, arthritis, or other musculoskeletal conditions affecting the knee.
Goals/Outcomes: The main goals are to provide support to the knee joint, relieve pain, reduce inflammation, and enhance mobility by preventing excessive movement that could cause further injury.
Indications
Symptoms/Conditions:
- Knee ligament injuries (e.g., ACL, PCL, MCL, LCL tears)
- Post-operative knee stabilization
- Chronic knee instability
- Osteoarthritis of the knee
- Conditions necessitating controlled knee flexion/extension
Patient Criteria:
- Patients requiring controlled knee motion
- Individuals needing external support for daily activities
- People recovering from knee surgery
Preparation
Pre-procedure Instructions:
- No specific fasting or medication adjustments are generally required.
Wear comfortable clothing that allows easy access to the knee.
Diagnostic Tests/Assessments:
- Physical examination by a healthcare professional
- Imaging tests such as X-rays or MRI may be necessary to evaluate the condition of the knee.
Procedure Description
- Assessment: The healthcare provider evaluates the knee condition and takes measurements for the orthosis.
- Selection: A prefabricated knee orthosis of appropriate size and type is chosen.
- Fitting: The brace is fitted to the patient's knee, with adjustments made to ensure proper alignment and comfort.
- Locking Mechanism: The knee joints are adjusted and locked to the desired position to stabilize the knee and restrict unwanted movements.
- Instruction: Patients are instructed on how to wear, remove, and care for the brace.
Tools/Equipment:
- Prefabricated knee orthosis
- Measurement tools (e.g., tape measure)
- Adjustment tools (if needed for the orthosis)
Anesthesia/Sedation: Not applicable
Duration
The fitting and adjustment process typically takes around 30-60 minutes.
Setting
This procedure is usually performed in an outpatient clinic, orthopedic office, or physical therapy center.
Personnel
Healthcare Professionals:
- Orthopedic specialist or technician
- Physical therapist
Risks and Complications
Common Risks:
- Skin irritation or pressure sores
- Discomfort due to improper fitting
Rare Risks:
- Allergic reaction to brace materials
- Increased pain or injury from improper use
Management:
- Regular follow-up appointments for adjustments
- Immediate consultation if any severe discomfort or issues arise
Benefits
Expected Benefits:
- Improved knee stability and support
- Pain relief and reduced inflammation
- Enhanced functionality and mobility
Timeline:
Benefits can be realized immediately once the orthosis is properly fitted and adjusted.
Recovery
Post-procedure Care:
- Follow instructions for wearing the brace, including duration and activities allowed.
- Regular skin checks under the brace for irritation.
Recovery Time:
Varies based on individual conditions; consistent use can contribute to improved knee function over weeks to months.
Restrictions:
- Avoid activities that could compromise knee stability as advised by the healthcare provider.
- Attend follow-up appointments for monitoring and adjustments.
Alternatives
Other Treatment Options:
- Custom-made knee braces
- Physical therapy
- Pain management medication
- Surgical intervention
Pros and Cons:
- Custom-made braces: Offer a tailored fit but are more expensive and take longer to produce.
- Physical therapy: Non-invasive but requires a commitment to regular sessions.
- Surgery: Can provide permanent solutions but involves higher risk and longer recovery.
Patient Experience
During the Procedure: The patient might feel discomfort during the fitting process but no pain as it's non-invasive.
After the Procedure:
- Mild discomfort or stiffness initially as the patient adjusts to wearing the orthosis.
- Instructions will be provided for pain management, including over-the-counter pain relief if needed.
- Regular wear should become more comfortable over time as the patient adapts to the orthosis.