Name of the Procedure:

Addition to Lower Extremity, Pelvic Control, Hip Joint, Clevis Type Two Position Joint, Each (L2570)

Summary

This procedure involves the addition of a specialized joint, specifically a clevis type two-position joint, to the hip area of the lower extremity. This joint is designed to aid in pelvic control and enhance the functional mobility of the hip joint.

Purpose

The primary aim is to address conditions that impair the hip joint's function and stability, including weakened pelvic control. The procedure is expected to improve mobility, reduce pain, and enhance the overall quality of life for the patient.

Indications

This procedure is recommended for individuals experiencing:

• Hip instability or weakness
• Reduced pelvic control
• Severe arthritis or joint degeneration affecting the hip
• Post-surgical conditions needing joint support

Appropriate candidates include those who have not found relief through non-surgical interventions and possess significant functional impairments that impact daily activities.

Preparation

Before the procedure, patients are typically advised to:

• Fast for at least 8 hours if general anesthesia will be used.
• Discontinue certain medications as advised by the physician.
• Undergo necessary diagnostic tests like X-rays or MRIs to assess the hip joint condition.

Procedure Description

1. Anesthesia: Administration of general anesthesia or regional anesthesia.
2. Incision: A small incision is made near the hip joint.
3. Placement: The clevis type two-position joint is aligned and affixed to the appropriate position on the hip.
4. Adjustment: The joint is adjusted to ensure optimal pelvic control and hip function.
5. Closure: The incision is closed using sutures, and a sterile dressing is applied.

Specialized orthopedic tools and imaging technology are used to accurately place and secure the joint.

Duration

The procedure generally takes about 1 to 2 hours, depending on the complexity and the patient's condition.

Setting

This procedure is performed in a surgical center or hospital with appropriate facilities.

Personnel

• Orthopedic Surgeon
• Surgical Nurses
• Anesthesiologist
• Radiologist (if imaging guidance is used)

Risks and Complications

Common risks include:

• Infection at the surgical site
• Blood clots
• Adverse reactions to anesthesia

Rare complications:

• Joint dislocation or failure
• Nerve damage
• Prolonged pain or swelling

These risks are managed through vigilant post-operative care and monitoring.

Benefits

Patients can expect:

• Improved hip stability and pelvic control
• Enhanced mobility and reduction of pain
• Better overall function of the lower extremity

Benefits are typically noticeable within a few weeks post-surgery, with continuing improvements over several months.

Recovery

Post-procedure instructions include:

• Limited weight-bearing activities initially
• Physical therapy to regain strength and mobility
• Regular follow-up appointments to monitor progress

Recovery time can range from several weeks to a few months, depending on individual patient factors.

Alternatives

Alternative treatments may include:

• Physical therapy and exercises
• Orthotic devices
• Less invasive surgical options like arthroscopy

These alternatives may offer less recovery time but might not provide the same level of improvement for severe cases compared to the described procedure.

Patient Experience

During the procedure, patients will be under anesthesia and experience no pain. Post-procedure, some discomfort and swelling are common, managed by pain medications and rest. Rehabilitation exercises and physical therapy will be essential components of recovery to ensure the best outcomes.