Name of the Procedure:

Addition to Lower Extremity, Long Tongue Stirrup (L2265)

Summary

This procedure involves the addition of a long tongue stirrup to an orthotic device used for the lower extremity. A stirrup is a supportive device that can help stabilize the ankle and foot.

Purpose

The procedure is designed to address instability or weakness in the foot and ankle. The stirrup provides additional support, aiding in the correction of gait abnormalities, enhancing mobility, and offering pain relief in the affected limb.

Indications

The addition of a long tongue stirrup is indicated for patients experiencing:

• Ankle instability
• Foot drop
• Post-operative recovery requiring additional support
• Weakness resulting from neurological conditions like stroke or multiple sclerosis
• Severe sprains or ligament injuries that need extra stabilization

Preparation

Patients are usually advised:

• To attend a fitting session for the orthotic device.
• To make necessary adjustments in their footwear as recommended.
• To inform the healthcare provider about any existing medical conditions or medications.
• Diagnostic imaging or physical assessment of the lower extremity may be conducted beforehand.

Procedure Description

1. Initial Assessment: A healthcare professional evaluates the patient's foot and ankle.
2. Custom Fitting: The orthotic is custom-fitted to ensure optimal comfort and effectiveness.
3. Addition of Stirrup: The long tongue stirrup is attached securely to the orthotic device.
4. Adjustments: Necessary adjustments are made to ensure proper alignment and fit.
5. Instruction and Education: The patient is instructed on how to properly use and care for the device.

Tools and Equipment:

• Orthotic device
• Long tongue stirrup component
• Fitting and adjustment tools

Anesthesia: Not required.

Duration

The fitting and adjustment procedure typically takes about 30 to 45 minutes.

Setting

This procedure is usually performed in an outpatient orthotic clinic or a specialized medical facility.

Personnel

• Orthotists or prosthetists
• Physical therapists (in some cases)
• Healthcare providers specializing in orthopedics or rehabilitation

Risks and Complications

• Skin irritation or sores from the device
• Discomfort or pressure points
• Risk of improper alignment if not fitted correctly

Benefits

• Improved stability and support for the ankle and foot
• Enhanced mobility and function
• Potential for pain relief and better quality of life

Expected benefits can be realized immediately upon proper fitting and adjustment.

Recovery

• Patients are advised on proper usage and maintenance of the device.
• Follow-up appointments may be scheduled to make necessary adjustments.
• Recovery time is generally minimal, involving only the adaptation to the new device.

Alternatives

Other treatment options include:

• Physical therapy
• Other types of orthotic devices
• Surgical intervention in severe cases

Each alternative has its pros and cons depending on the patient's specific condition.

Patient Experience

Patients might experience:

• Some initial discomfort as they adapt to the new device
• Relief in symptoms related to instability and pain
• Periodic need for adjustments to the device for optimal comfort and function Pain management and comfort measures include cushioning, regular follow-ups, and patient education on signs to look out for, such as skin irritation.