Name of the Procedure:

Addition to Lower Extremity, Reinforced Solid Stirrup (Scott-Craig Type)

Summary

In layman's terms, this procedure involves attaching a reinforced solid support (stirrup) to the lower part of the leg, specifically designed to stabilize the ankle and foot. This is often part of a brace or orthotic system aimed at improving mobility and stability.

Purpose

The procedure addresses issues related to lower leg instability, often due to neuromuscular conditions, injuries, or deformities. The main goal is to provide increased support and alignment, thereby enhancing the patient's ability to walk and perform daily activities.

Indications

• Significant instability in the ankle or foot
• Neuromuscular conditions such as spinal cord injury or multiple sclerosis
• Severe foot drop
• Post-operative support for lower extremity surgeries
• Patients must typically be experiencing substantial difficulty with mobility that affects their quality of life.

Preparation

• Patients may need a physician’s evaluation, including imaging studies like X-rays or MRIs.
• No specific fasting or medication adjustments are usually required.
• The patient will likely be measured and fitted for the appropriate orthotic device prior to the procedure.

Procedure Description

1. Evaluation and measurement of the patient’s lower extremity.
2. Creation or customization of the Scott-Craig type solid stirrup.
3. Fitting of the stirrup to the orthotic brace and lower extremity.
4. Ensuring proper alignment and support.
5. Adjustment for comfort and optimal function. The process may utilize specialized tools and materials specific to orthotic fabrication. Anesthesia is not typically required.

Duration

The procedure usually takes about 1-2 hours, including preparation and fitting.

Setting

The procedure is commonly performed in an outpatient clinic that specializes in orthotic and prosthetic services.

Personnel

• Orthotists (healthcare professionals specializing in orthotic devices)
• Physicians or surgeons for initial assessment and ongoing care
• Nurses may assist with patient preparation and education

Risks and Complications

• Skin irritation or pressure sores from the device
• Poor fit leading to discomfort or lack of support
• Possible need for adjustment or replacement over time
• Rarely, allergic reactions to materials used

Benefits

• Increased stability and support for the lower extremity
• Improved mobility and ability to perform daily activities
• Enhanced quality of life

Recovery

• Patients can typically resume normal activities immediately, though they may need a brief adjustment period.
• Follow-up appointments may be required to adjust the device for optimal fit and function.
• Patients should monitor for any signs of skin irritation and report these to their healthcare provider.

Alternatives

• Non-reinforced orthotic devices or braces.
• Physical therapy to strengthen muscles and improve balance without orthotic support.
• Surgical interventions in severe cases. Each alternative has its own benefits and drawbacks, often involving a trade-off between invasiveness, recovery time, and level of support provided.

Patient Experience

During the fitting, the patient might feel some pressure as adjustments are made. Afterward, there may be a period of adaptation where the patient gets used to the device. Pain is generally minimal, but any discomfort should be reported to the healthcare provider for adjustment. Comfort measures include padding and regular monitoring to prevent skin issues.