Name of the Procedure:

Knee Orthosis, Single Upright, Thigh and Calf
Common Name(s): Knee brace, Knee support
Technical/Medical Term: Knee orthosis (KO) with adjustable flexion and extension joint, medial-lateral and rotation control

Summary

A knee orthosis (brace) that supports and stabilizes the knee joint. It has adjustable components that help control the range of motion and provide stability to the thigh and calf. This prefabricated item can be customized by trimming, bending, or molding to better fit the patient.

Purpose

Medical Conditions:

• Osteoarthritis
• Post-operative rehabilitation
• Knee injuries (e.g., ligament tears, meniscal tears)
• Chronic knee instability
• Varus/Valgus deformities

Goals/Expected Outcomes:

• Reduce pain and swelling
• Enhance knee stability and alignment
• Improve mobility and function
• Prevent further injury
• Facilitate recovery and rehabilitation

Indications

Symptoms/Conditions:

• Knee pain or swelling due to injury or arthritis
• Difficulty walking or performing daily activities
• Knee instability or noticeable knee buckling
• Post-operative support after knee surgery

Patient Criteria:

• Individuals who require additional knee support
• Patients undergoing recovery from knee surgery or injury
• Those with conditions causing knee misalignment or instability

Preparation

Pre-Procedure Instructions:

• No specific fasting or medication adjustments required
• Wear comfortable clothing for fitting of the orthosis

Diagnostic Tests/Assessments:

• Physical examination by a healthcare provider
• Possible imaging tests (e.g., X-rays, MRI) to assess knee condition

Procedure Description

Step-by-Step Explanation:

1. The patient is assessed to determine the appropriate size and type of knee orthosis.
2. The prefabricated orthosis is trimmed, bent, or molded to fit the patient's leg perfectly.
3. The single upright frame of the orthosis is placed along the knee, with supports extending to the thigh and calf.
4. Adjustable joints and straps are secured, ensuring proper alignment and stability.
5. The range of motion is set according to the patient's needs, allowing controlled flexion and extension.

6. Final adjustments are made for comfort and effectiveness.

   Tools and Technology Used:

   • Prefabricated orthosis
   • Adjustment tools for trimming, bending, and molding

Anesthesia:

• Not applicable

Duration

• Typically takes 30-45 minutes for fitting and adjustment.

Setting

• Outpatient clinic
• Orthopedic or rehabilitation center

Personnel

• Orthotist or trained healthcare professional
• Physical therapist (optional for additional support and training)

Risks and Complications

Common Risks:

• Discomfort or skin irritation
• Improper fit leading to ineffective support

Rare Risks:

• Pressure sores
• Allergic reaction to materials

Complication Management:

• Regular follow-up appointments for adjustments
• Patient education on proper use and care

Benefits

• Reduced knee pain and improved stability
• Enhanced ability to perform daily activities
• Faster and more effective rehabilitation and recovery

Recovery

Post-Procedure Care:

• Regular check-ups to monitor fit and function
• Instructions on cleaning and maintaining the orthosis
• Possible exercises to strengthen the knee

Recovery Time:

• Varies depending on underlying condition and severity
• Continuous use for weeks to months as advised

Restrictions and Follow-up:

• Avoid high-impact activities unless otherwise advised
• Follow prescribed physical therapy regimen

Alternatives

Other Treatment Options:

• Physical therapy alone
• Surgical intervention (for severe cases)
• Different types of knee supports or orthoses

Pros and Cons:

• Pros: Non-invasive, customizable, immediate support.
• Cons: May require frequent adjustments, potential discomfort.

Patient Experience

During the Procedure:

• Minimal discomfort during fitting
• Some initial awkwardness as they get accustomed to the orthosis

After the Procedure:

• Possible initial discomfort or irritation
• Gradual increase in comfort and confidence as they adjust
• Instructions on pain management, if necessary
• Encouragement and tips for integrating the orthosis into daily life

This concise yet thorough guide helps patients understand the knee orthosis procedure, preparing them for what to expect and how to maximize the benefits while minimizing risks.