Name of the Procedure:

Addition to Knee Joint, Ratchet Lock for Active and Progressive Knee Extension, Each Joint (HCPCS Code: L2430)

Summary

This procedure involves adding a specialized device, a ratchet lock, to the knee joint. This device helps patients achieve controlled and progressive knee extension, improving mobility and functionality.

Purpose

The primary purpose of this procedure is to address issues related to limited knee extension, often due to injuries, surgeries, or chronic conditions like arthritis. The goal is to improve knee stability and range of motion, thereby enhancing the patient's overall mobility and quality of life.

Indications

• Limited knee extension due to injury, surgery, or chronic conditions
• Need for controlled knee movement and stability
• Patients requiring progressive knee extension for rehabilitation purposes

Preparation

• Patients may need to undergo a physical examination and imaging tests like X-rays or MRIs for accurate assessment.
• Fasting is generally not required, but doctors may provide specific instructions based on individual health conditions.
• Medication adjustments may be necessary, particularly for patients on blood thinners.

Procedure Description

1. The patient is positioned in a comfortable yet accessible manner.
2. Local anesthesia may be administered to the knee area to minimize discomfort.
3. The surgeon makes an incision near the knee joint and carefully places the ratchet lock device.
4. The device is attached to ensure it can provide controlled and progressive extension.
5. The incision is closed and dressed appropriately.

Duration

The procedure typically takes about 1 to 2 hours, depending on the complexity and individual patient needs.

Setting

This procedure is most often performed in an outpatient surgical center or hospital.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist (if sedation is used)
• Physical therapist (post-procedure)

Risks and Complications

• Infection
• Device malfunction or displacement
• Blood clots
• Pain or discomfort at the surgical site
• Allergic reactions to anesthesia

Benefits

• Improved knee stability and function
• Enhanced range of motion
• Progress in rehabilitation and recovery
• Potential reduction in pain associated with knee stiffness

Recovery

• Post-procedure instructions may include rest, ice application, and elevation of the knee.
• Pain management with prescribed medications.
• Physical therapy sessions to ensure proper use and effectiveness of the ratchet lock.
• Full recovery can vary but typically ranges from a few weeks to several months, depending on the individual's health and adherence to rehabilitation protocols.

Alternatives

• Physical therapy alone, though it may take longer to see results.
• Traditional knee braces or orthotics, which may offer less precise control over knee extension.
• Surgery to address the underlying condition without the addition of a ratchet lock, with varying success rates.

Patient Experience

• Patients can expect some discomfort or mild pain during the procedure, managed with local anesthesia.
• Post-procedure, there may be swelling and soreness, which can be managed with ice packs and pain medication.
• Regular follow-ups and physical therapy sessions are essential to monitor progress and adjust the device as needed.