Name of the Procedure:

Common name(s): Ankle Foot Orthosis, Custom Bracing
Technical or medical term: L1940 - Ankle Foot Orthosis, Plastic or Other Material, Custom Fabricated

Summary

An Ankle Foot Orthosis (AFO) is a custom-designed brace used to support and stabilize the ankle and foot. It is typically crafted from plastic or other materials tailored to fit the patient's specific anatomy.

Purpose

An AFO is used to address conditions like foot drop, arthritis, or fractures, providing necessary support and correcting alignment issues. It aims to improve mobility, reduce pain, and enhance overall functionality of the ankle and foot.

Indications

• Foot drop
• Post-stroke rehabilitation
• Ankle instability
• Severe arthritis
• Fractures or injuries to the foot/ankle
• Neuromuscular disorders

Preparation

• A comprehensive evaluation by a healthcare professional is needed.
• The patient may need to undergo imaging tests such as X-rays or MRIs.

• Measurements and a mold of the foot and ankle are taken to ensure a precise fit.

  Procedure Description

  1. Evaluation: The healthcare provider assesses the patient's condition and needs.
  2. Casting/Molding: A mold of the foot and ankle is created to craft a custom orthosis.
  3. Fabrication: The orthosis is custom-made from plastic or other suitable materials.
  4. Fitting: The patient tries the orthosis, and adjustments are made for optimal fit and comfort.
  5. Instruction: The patient receives instructions on how to wear and care for the orthosis.

Tools and Equipment:

• Casting materials (plaster or fiberglass)
• Custom fabrication tools
• Fitting tools

Anesthesia: Not required.

Duration

The casting and fitting process typically take about 1-2 hours. Custom fabrication might take a few weeks.

Setting

Outpatient clinic or orthotics/prosthetics office.

Personnel

• Orthotist
• Healthcare providers specialized in orthotic care
• Possibly physical therapists

Risks and Complications

• Skin irritation or pressure sores
• Initial discomfort or difficulty adjusting
• Need for periodic adjustments

Benefits

• Improved mobility and stability
• Pain reduction
• Enhanced quality of life
• Correction of alignment issues

Improvements may be noticed immediately, though full benefits often appear over time with regular use.

Recovery

• Minimal recovery time
• Patients are encouraged to gradually increase wearing time
• Regular follow-up visits for adjustments
• Skin care to prevent irritation

Alternatives

• Prefabricated orthoses
• Physical therapy
• Surgical interventions

Pros of AFO:

• Customized fit
• Specific support tailored to patient needs

Cons compared to alternatives:

• Longer fabrication time
• Higher cost than prefabricated options

Patient Experience

• Initial discomfort is common as the patient adjusts to the orthosis.
• The patient might experience relief from symptoms soon after starting use.
• Periodic visits for adjustments ensure continued comfort and effectiveness.
• Pain management is rarely needed, typically only minor soreness from adjustment periods.