Name of the Procedure:

Addition to lower extremity, offset knee joint, heavy duty, each joint (L2395)
Common name(s): Heavy-Duty Knee Joint Addition
Technical/medical terms: HCPCS Code L2395

Summary

In simple terms, this procedure involves attaching a heavy-duty joint to the knee area of a lower extremity prosthesis. This helps improve the durability and functionality of prosthetic legs for individuals who require more robust support.

Purpose

• Medical Conditions/Problems Addressed: The procedure addresses degenerative joint conditions, severe arthritis, or limb loss requiring durable prosthetic support.
• Goals/Expected Outcomes: The primary goal is to enhance the stability and longevity of the prosthesis, making it capable of withstanding higher stress levels for patients with active lifestyles or higher body weights.

Indications

• Symptoms/Conditions: Patients experiencing malfunction or excessive wear and tear of their standard prosthetic knee joints; those with severe joint degeneration or requiring heavy-duty prosthetics.
• Patient Criteria: Ideal for individuals who are highly active, have a higher body weight, or require additional support due to their lifestyle or work responsibilities.

Preparation

• Pre-procedure Instructions: Patients may need to adjust their current prosthetic usage. They should discuss any current medications with their healthcare provider, as certain medications might need to be paused or adjusted.
• Diagnostic Tests: Assessment of the existing prosthesis and the patient’s overall health and activity level.

Procedure Description

1. Anesthesia/Sedation: Typically, local anesthesia is used to numb the area.
2. Procedure Steps:
   • Removal of the existing knee joint, if applicable.
   • Fitting and alignment of the new heavy-duty knee joint.
   • Securing the new joint and ensuring proper functionality and movement.
3. Tools/Equipment: Specialized tools and equipment for attaching and adjusting prosthetic joints.

Duration

The procedure usually takes about 1 to 2 hours.

Setting

The procedure is typically performed in an outpatient clinic or a specialized prosthetics center.

Personnel

• Healthcare Professionals Involved: Prosthetist, orthopedic surgeon, and support staff such as nurses.

Risks and Complications

• Common Risks: Infection, joint misalignment, or discomfort.
• Rare Risks: Implant rejection or severe allergic reaction to materials used.
• Complication Management: Monitoring by healthcare professionals post-procedure to manage and address any complications that arise.

Benefits

• Expected Benefits: Enhanced durability and performance of the prosthetic knee joint, improved mobility, and comfort for the patient.
• Realization Time: Benefits can typically be noticed shortly after proper fitting and initial adjustment period.

Recovery

• Post-procedure Care: Regular follow-up appointments for adjustments and monitoring. Cleaning and care of the prosthetic joint as directed.
• Expected Recovery Time: Recovery is generally quick, with most patients able to use the new prosthetic joint almost immediately. Some adaptation time may be required.

Alternatives

• Other Treatment Options:
  • Standard duty knee joints for lighter usage.
  • Advanced robotic or electronically controlled knee joints.
• Pros and Cons:
  • Standard Joints: Less costly, but not as durable.
  • Robotic Joints: Offer greater mobility options but may come with higher costs and require more maintenance.

Patient Experience

• During the Procedure: Patients may feel minimal discomfort due to local anesthesia.
• After the Procedure: Some initial stiffness or discomfort is possible; pain management measures will be provided. Patients can expect to gradually adapt to the new joint with improved mobility and confidence. Regular support and adjustments by healthcare providers will enhance comfort and functionality.