Name of the Procedure:

Addition to Lower Extremity, Split Flat Caliper Stirrups and Plate Attachment
HCPCS Code: L2230

Summary

This procedure involves attaching split flat caliper stirrups and a plate to the lower extremity, commonly lower legs. It's typically used to enhance the support and functionality of prosthetic devices.

Purpose

This procedure is designed to improve the stability and support of a prosthetic limb. It helps distribute weight more evenly and aids in better alignment and movement. The goal is to enhance mobility and comfort for individuals with lower extremity prostheses.

Indications

• Patients with lower extremity amputations who need additional support for their prosthetic limbs.
• Individuals experiencing discomfort or instability with their current prosthetic setup.
• Those who require adjustments to the fitting of their lower extremity prosthesis for better functionality.

Preparation

• Fasting is generally not required.
• Patients may need to adjust specific medications as advised by their healthcare provider.
• Basic assessment and evaluation of the current prosthetic setup may be required.

Procedure Description

1. The current prosthetic limb is carefully detached.
2. The healthcare provider arranges the split flat caliper stirrups and verifies their fit and alignment.
3. The plate attachment is then secured to the prosthetic limb.
4. Adjustments are made to ensure the proper alignment and stability of the entire assembly.
5. The prosthetic limb is reattached, and functionality is tested.

Tools and Equipment:

• Split flat caliper stirrups
• Plate attachment
• Adjustment tools for alignment and fitting

Anesthesia or Sedation:

• Typically, local anesthesia or no anesthesia at all is required, depending on the patient’s comfort and sensitivity.

Duration

The procedure usually takes about 1 to 2 hours.

Setting

Performed in a hospital, outpatient clinic, or specialized surgical center.

Personnel

• Orthopedic surgeon or specialized prosthetist
• Nurse or medical assistant
• Technical support staff

Risks and Complications

• Possible infection at the attachment site.
• Misalignment leading to discomfort or further adjustment needs.
• Rare: allergic reaction to materials used.
• Management: immediate follow-up to address any adverse reactions or misalignments.

Benefits

• Improved prosthetic support and comfort.
• Enhanced stability and mobility.
• Benefits are typically realized immediately or within a few days as the patient adjusts to the new setup.

Recovery

• Instructions on proper care of the prosthetic limb.
• Possible use of pain relievers if any discomfort occurs.
• Follow-up appointments to ensure proper fitting and function.
• Recovery time varies; most patients return to normal activities within a few days.

Alternatives

• Adjustments to existing prosthetic limbs without additional attachments.
• Use of different types of prosthetic limbs that don’t require such attachments.
• Pros: Non-invasive, quicker adjustments.
• Cons: May not provide the same level of support or stability.

Patient Experience

• Patients might feel mild discomfort during adjustments.
• Post-procedure, there may be a period of getting used to the new setup.
• Pain management typically involves over-the-counter pain relievers.
• Comfort measures include proper alignment techniques and follow-up care to address any concerns.