Name of the Procedure:

Addition to Lower Extremity Orthosis, Suspension Sleeve

Summary

The addition of a suspension sleeve to a lower extremity orthosis helps to secure the orthosis in place on the leg. This addition ensures that the orthotic device stays properly aligned and functional, enhancing mobility and stability for the wearer.

Purpose

The suspension sleeve is used to address issues with the fit and stability of a lower extremity orthosis, ensuring that it remains securely in place. The goals include improved mobility, stability, and comfort, which contributes to the overall effectiveness of the orthotic device.

Indications

• Unstable fit of the lower extremity orthosis
• Frequent displacement or slippage of the orthotic device
• Need for additional support to maintain proper alignment
• Patients with conditions affecting lower limb stability (e.g., muscular dystrophy, polio, partial paralysis)

Preparation

• No specific fasting or medication adjustments are required.
• An assessment of the current orthotic device fit and alignment may be necessary.
• Measurements of the lower extremity to ensure proper sizing of the suspension sleeve.

Procedure Description

1. Fitting: The healthcare provider will measure the lower extremity to determine the appropriate size for the suspension sleeve.
2. Selection: An appropriately-sized suspension sleeve is chosen.
3. Application: The suspension sleeve is placed over the lower extremity orthosis.
4. Adjustment: The sleeve is adjusted to ensure a snug fit without causing discomfort.
5. Verification: The healthcare provider checks to confirm that the sleeve securely holds the orthosis in place and does not impede circulation.

Tools and Equipment:

• Suspension sleeve
• Measuring tape
• Scissors (if the sleeve needs trimming)

Anesthesia or Sedation:

• None required

Duration

• The procedure typically takes about 15-30 minutes.

Setting

• The procedure can be performed in an outpatient clinic or orthotics/prosthetics facility.

Personnel

• Orthotist or a trained healthcare provider
• Nursing staff, if needed for patient assistance

Risks and Complications

• Minor risks include skin irritation or discomfort from the sleeve
• Rare complications could include reduced circulation if the sleeve is too tight
• These issues are managed by re-adjusting or selecting a different sized sleeve

Benefits

• Enhanced stability and comfort of the lower extremity orthosis
• Improved mobility and alignment
• Benefits can be realized immediately upon proper fitting

Recovery

• No specific recovery period is needed
• Patients may receive instructions on monitoring for discomfort or skin irritation
• Follow-up appointments may be scheduled to reassess the fit and function of the orthosis and sleeve

Alternatives

• Alternatives include using different types of orthotic devices with integrated suspension mechanisms.
• Pros and Cons: Integrated mechanisms might offer a more streamlined profile but may also be less adjustable than a separate sleeve.

Patient Experience

• During the procedure: Patients typically might feel minor adjustments and pressure as the sleeve is applied.
• After the procedure: Improved comfort and security of the orthotic device; minor skin irritation might occur but can be managed with proper adjustment and care.
• Pain management: Not typically necessary, as the procedure is non-invasive.