Name of the Procedure:

Ankle Foot Orthosis (AFO), Fracture Orthosis, Tibial Fracture Orthosis, Rigid, Prefabricated, Includes Fitting and Adjustment (HCPCS Code: L2116)

Summary

An Ankle Foot Orthosis (AFO) is a medical device designed to support and immobilize the ankle and foot. Used specifically for fractures, this rigid, prefabricated orthosis is adjusted and fitted to the patient to ensure proper alignment and promote healing.

Purpose

Conditions Addressed

• Acute or chronic ankle fractures
• Tibial fractures
• Post-surgical stabilization ##### Goals/Outcomes
• Stabilization of the ankle and foot
• Proper alignment to promote bone healing
• Pain relief and reduced risk of further injury

Indications

Symptoms/Conditions

• Acute pain and swelling due to fractures
• Inability to bear weight on the affected limb
• Visible deformity of the ankle/foot ##### Patient Criteria
• Patients with confirmed fractures needing immobilization
• Post-operative patients requiring further stabilization

Preparation

Pre-Procedure Instructions

• No special preparation such as fasting is typically needed
• Follow your physician’s instructions regarding any medication adjustments ##### Diagnostic Tests
• X-rays or other imaging techniques to confirm the fracture and plan the fitting

Procedure Description

• Step 1: Assessment by a healthcare professional to determine exact fitting requirements
• Step 2: Selection of the appropriate prefabricated orthosis size
• Step 3: Fitting the orthosis to the patient’s limb, ensuring proper alignment and comfort
• Step 4: Adjustments to the orthosis may be made for optimal stabilization and support
• Tools/Equipment: Prefabricated rigid orthosis, padding, straps, and adjustment tools
• Anesthesia/Sedation: Typically, not required

Duration

• The fitting and adjustment process generally takes 30-60 minutes.

Setting

• The procedure is usually performed in an outpatient clinic, orthopedic office, or specialized orthotics and prosthetics facility.

Personnel

• Orthopedic specialists
• Certified orthotists
• Nursing staff for assistance

Risks and Complications

Common Risks

• Skin irritation or pressure sores
• Discomfort during initial usage ##### Rare Risks
• Improper alignment leading to impaired healing
• Circulatory or nerve issues ##### Management
• Regular follow-ups to monitor fit and comfort
• Adjustments made as necessary

Benefits

• Effective stabilization and reduced pain
• Proper bone alignment facilitating faster healing
• Increased mobility with safety

Recovery

Post-Procedure Care

• Regular check-ups to monitor healing progress
• Skin care to prevent irritation ##### Recovery Time
• Recovery varies; bone healing may take several weeks to months
• Follow-up appointments to adjust orthosis as healing progresses

Alternatives

Other Treatment Options

• Custom-made orthoses
• Casts or splints ##### Pros and Cons
• Custom orthoses may offer a better fit but are more expensive and time-consuming to produce.
• Casts provide strong immobilization but restrict mobility entirely.

Patient Experience

During the Procedure

• Minimal discomfort during fitting and adjustments ##### After the Procedure
• Possible initial period of discomfort as the body adjusts
• Pain management may include over-the-counter analgesics or prescribed medications
• Regular activities might be restricted to ensure proper healing and reduce stress on the injured limb