Name of the Procedure:

Common Name: Addition of Lower Extremity Abduction Bar
Technical/Medical Term: HCPCS Procedure Code L2310 (Addition to lower extremity, abduction bar-straight)

Summary

The procedure involves adding an abduction bar (a straight bar used to maintain limb positioning) to the lower extremity, typically as part of a larger orthopedic or rehabilitative intervention. This device helps in maintaining proper leg alignment and spacing.

Purpose

This procedure is typically used for:

• Maintaining or correcting leg positioning.
• Assisting in the recovery from hip surgeries or fractures.
• Helping to treat conditions like developmental dysplasia of the hip (DDH) or cerebral palsy.

Indications

• Developmental dysplasia of the hip (DDH).
• Post-operative recovery after hip surgeries.
• Patients requiring limb alignment correction for rehabilitation.
• Specific lower extremity fractures that require immobilization and correct positioning.

Preparation

• Patients may need to undergo diagnostic imaging (e.g., X-rays) to assess the condition of the hip and leg.
• Follow pre-surgery instructions, including fasting and medication adjustments, as advised by the healthcare provider.

Procedure Description

1. Assessment: The patient’s lower extremity is assessed for correct placement of the abduction bar.
2. Preparation: The skin is cleaned, and the area is prepped.
3. Placement: The bar is carefully positioned and attached to the lower extremity, often with the use of padding and strapping.
4. Adjustment: Ensuring the bar maintains appropriate width and leg positioning.
5. Securing: The device is securely fitted, minimizing discomfort.

Tools/Equipment: Abduction bar, padding, Velcro straps or similar fastening materials.
Anesthesia/Sedation: Typically, local anesthesia may be used if the procedure is done during surgery; otherwise, sedation is not usually required.

Duration

The procedure typically takes about 30 minutes to an hour, depending on the complexity.

Setting

The procedure can be performed in various settings, such as:

• Hospital (inpatient or outpatient)
• Outpatient clinic
• Surgical center

Personnel

• Orthopedic surgeon
• Nurse
• Anesthesiologist (if sedation/anesthesia is required)

Risks and Complications

• Common risks: Discomfort or pain at the site, skin irritation, pressure sores.
• Rare risks: Infection, improper bone alignment, circulatory issues.

Benefits

• Proper hip and lower extremity alignment.
• Enhanced recovery from surgery or injury.
• Improved management of hip dysplasia or cerebral palsy-related issues.
• Benefits usually realized within a few weeks to months as the patient heals.

Recovery

• Follow-up appointments to assess progress and adjust the bar as needed.
• Monitor for any signs of skin irritation or infection.
• Restrictions on certain activities to ensure proper healing (e.g., limited weight-bearing).
• Recovery time varies; it could take several weeks to months, depending on the underlying condition and patient compliance with post-procedure care.

Alternatives

• Hip spica casts.
• Alternative bracing systems.
• Physical therapy without the use of hardware.
• Each alternative has its own pros and cons, such as difference in mobility, comfort, and effectiveness.

Patient Experience

• During the Procedure: Minimal discomfort if local anesthesia is applied; otherwise, it may be mildly uncomfortable.
• After the Procedure: Initial discomfort, which can be managed with pain relief measures like oral analgesics.
• Patients might feel restricted in movement due to the bar but will progressively get used to it as part of the recovery process.
• Regular follow-ups will help manage any discomfort and ensure effective healing.