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Addition to lower extremity, straight knee joint, heavy duty, each joint

HCPCS code

Name of the Procedure:

Addition to Lower Extremity, Straight Knee Joint, Heavy Duty, Each Joint (L2385)

Summary

This procedure involves adding a heavy-duty, straight knee joint to the lower extremity. It provides additional support and stability to the knee, particularly benefiting individuals who need extra reinforcement due to weight-bearing or high activity levels.

Purpose

The procedure addresses issues related to knee instability or weakness, especially in individuals requiring heavy-duty support due to high physical demands or conditions affecting the knee's strength and stability. The goal is to enhance knee function, improve mobility, and reduce pain or discomfort.

Indications

  • Knee instability or weakness
  • Conditions like osteoarthritis or rheumatoid arthritis affecting knee strength
  • Patients with heavy-duty physical activity requirements
  • Situations requiring enhanced knee support due to weight-bearing needs

Preparation

  • No specific fasting required.
  • Adjusting any medications as advised by the healthcare provider.
  • Pre-procedure diagnostic tests like X-rays or MRI scans to assess knee condition.

Procedure Description

  1. The procedure typically begins with the patient lying comfortably on an examination table.
  2. The knee area is sterilized to minimize infection risks.
  3. An incision is made near the knee joint.
  4. The heavy-duty, straight knee joint is placed and secured to enhance stability.
  5. The incision is closed with sutures.
  6. A sterile dressing is applied to the area.

Tools and equipment include surgical instruments, the heavy-duty knee joint component, and sterilization supplies. Local anesthesia is usually administered to numb the knee area.

Duration

The procedure typically takes about 1-2 hours, depending on the complexity.

Setting

Outpatient clinic or hospital surgical center.

Personnel

  • Orthopedic surgeon
  • Surgical nurse
  • Anesthesiologist (if sedation is required)
  • Physician assistant (if applicable)

Risks and Complications

  • Infection at the incision site
  • Bleeding or swelling
  • Allergic reaction to materials used
  • Failure of the knee joint component to function as intended
  • Pain or discomfort post-procedure
  • Nerve or tissue damage

Benefits

  • Enhanced knee stability and support
  • Improved mobility and functional capacity
  • Reduced pain or discomfort during physical activities
  • Immediate benefits are often noticed after the initial recovery phase.

Recovery

  • Post-procedure care includes keeping the incision site clean and dry.
  • Moderate pain and swelling might be experienced, manageable with prescribed pain medications.
  • Physical therapy may be recommended to aid in recovery.
  • Most patients recover within 4-6 weeks, but this may vary depending on individual circumstances.
  • Follow-up appointments to monitor progress and address any concerns.

Alternatives

  • Physical therapy alone: beneficial for mild instability.
  • Use of knee braces: an alternative for non-surgical support.
  • Oral or injectable medications: for managing pain and inflammation.
  • Surgical reconstruction: for severe knee joint damage.

Patient Experience

During the procedure, patients may feel some pressure but should not feel pain due to the local anesthesia. Post-procedure, mild to moderate discomfort and swelling are common. Pain management includes prescribed medications and possibly ice application. Comfort measures include elevated leg positioning and rest.

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