Name of the Procedure:

Knee Orthosis (KO), Single Upright, Thigh and Calf, with Adjustable Flexion and Extension Joint (Unicentric or Polycentric), Medial-Lateral and Rotation Control, with or without Varus/Valgus Adjustment, Prefabricated, Off-the-Shelf (L1851).

Summary

This procedure involves fitting a patient with a specially designed knee brace that provides support and stability to the knee joint. The brace has adjustable settings to control knee movement, helping to manage and treat various knee-related conditions.

Purpose

The knee orthosis is used to treat conditions such as ligament injuries, osteoarthritis, and post-surgical recovery. The goal is to stabilize the knee, control its movement, reduce pain, and improve overall function.

Indications

• Ligament injuries (e.g., ACL, PCL)
• Osteoarthritis
• Post-operative stabilization
• Knee instability
• Meniscal injuries

Preparation

• No specific fasting or medication adjustments required.
• A physical examination and imaging tests (like X-rays or MRI) are often performed to assess the knee condition.

Procedure Description

1. Assessment: The healthcare provider will measure the knee and leg to ensure the correct fit of the orthosis.
2. Fitting: The prefabricated brace is placed on the thigh and calf. It's adjusted for proper positioning and comfort.
3. Adjustment: The flexion and extension joints, as well as medial-lateral supports, are calibrated to the patient’s specific needs.
4. Instruction: The patient is taught how to wear, adjust, and take care of the knee orthosis.

Duration

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

Setting

This procedure is commonly performed in a physician’s office, outpatient clinic, or an orthotics/prosthetics facility.

Personnel

Orthotists, experienced orthopedic technicians, or physical therapists, under the supervision of an orthopedic surgeon or physician.

Risks and Complications

• Skin irritation or sores from brace contact
• Discomfort or improper fit
• Limited knee movement if not adjusted correctly

Benefits

• Enhanced knee stability and support
• Reduced pain and improved mobility
• Prevention of further knee damage

Recovery

• Regular use as instructed by the healthcare provider.
• Follow-up appointments for adjustments and monitoring of progress.
• Patients should gradually notice improved knee function and decreased pain.

Alternatives

• Physical therapy
• Surgical interventions
• Other types of braces or orthotics
• Medications for pain and inflammation

Patient Experience

Patients may initially feel discomfort as they get used to the brace. Over time, pain management and proper adjustment will enhance comfort and knee stability.