Name of the Procedure:

Addition to Lower Extremity, Foot Plate, Molded to Patient Model, Stirrup Attachment (HCPCS L2250)

• Common Name: Custom Molded Foot Plate with Stirrup Attachment
• Technical/Medical Term: L2250 Lower Extremity Orthotic Addition

Summary

This procedure involves creating a custom-molded foot plate for the lower extremity, designed to fit the unique contours of the patient's foot. The foot plate includes a stirrup attachment to enhance stability and support.

Purpose

• Conditions Addressed: Foot deformities, severe pronation or supination, instability, and other orthopedic conditions affecting the foot and lower extremity.
• Goals: To provide improved support, alignment, and stability to the foot and lower extremity, reducing pain and improving functional mobility.

Indications

• Symptoms/Conditions: Chronic foot pain, difficulty in walking, foot deformities (e.g., flat feet), post-surgical stabilization.
• Patient Criteria: Individuals with significant structural or functional foot issues that have not responded to other treatments.

Preparation

• Pre-Procedure Instructions:
  • No specific fasting or medication adjustments required.
  • Wear comfortable shoes and clothing to the appointment.
• Diagnostic Tests/Assessments:
  • Possible imaging studies (X-rays) to assess foot structure.
  • Clinical gait analysis and foot impression modeling.

Procedure Description

1. Initial Consultation: Evaluating the patient's foot structure and functionality.
2. Foot Impression: Creating a mold of the patient’s foot using casting or 3D scanning technology.
3. Custom Fabrication: The foot plate is crafted from durable materials, molded to fit the patient's foot based on the impression.
4. Stirrup Attachment: Adding the stirrup attachment to provide additional support and stability.
5. Fitting and Adjustment: Ensuring proper fit and making any necessary adjustments.

• Tools/Equipment: Casting materials or 3D scanner, custom orthotic fabrication equipment.
• Anesthesia/Sedation: None needed as the procedure is non-invasive.

Duration

Approximately 1-2 hours, including consultation, molding, and fitting.

Setting

Outpatient clinic or orthotic fitting center.

Personnel

• Orthotist or orthotic specialist
• Physician (optional for consultation)
• Technicians for fabrication and fitting

Risks and Complications

• Common Risks: Minor discomfort during molding, initial adjustment period.
• Rare Risks: Allergic reaction to materials, improper fit leading to increased discomfort.

Benefits

• Expected Benefits: Improved foot alignment and stability, reduced pain, enhanced mobility.
• Timeline: Benefits typically realized within a few days to a few weeks as the patient acclimates to the orthotic.

Recovery

• Post-Procedure Care: Routine follow-ups to adjust and ensure proper fit.
• Recovery Time: Minimal; patients can resume normal activities immediately.
• Restrictions: None; follow the orthotist’s guidance on usage.

Alternatives

• Other Options: Off-the-shelf orthotics, physical therapy, surgical intervention.
• Pros/Cons: Custom foot plates offer improved fit and effectiveness, while off-the-shelf options may be less expensive but also less effective.

Patient Experience

• During Procedure: Minor discomfort during the molding process.
• After Procedure: Initial period of adjustment; some patients may experience minor discomfort which typically resolves quickly.
• Pain Management: Usually none required, but over-the-counter pain relievers can be used if needed.