Name of the Procedure:

Common Name: Hip Joint/Pelvic Control Addition
Technical/Medical Term: Addition to Lower Extremity, Pelvic Control, Hip Joint, Clevis Type, or Thrust Bearing, Free, Each (HCPCS L2600)

Summary

This procedure involves adding a specialized device to the hip joint area to improve pelvic control for patients with lower extremity issues. The device, known as a clevis type or thrust bearing, is designed to enhance stability and motion for individuals requiring additional support.

Purpose

The procedure addresses conditions related to lower extremity instability, such as hip dysplasia, joint degeneration, or post-surgical recovery. The primary goal is to provide better pelvic stability and control, thereby improving the patient's mobility and reducing discomfort.

Indications

• Chronic hip instability or weakness
• Post-operative support following hip surgery
• Hip dysplasia or joint degeneration
• Conditions requiring enhanced lower extremity support

Preparation

• Patients may be advised to fast for a certain period if anesthesia is involved.
• Medication adjustments, particularly for blood thinners or anti-inflammatories.
• Pre-procedural diagnostic tests such as X-rays, MRIs, or CT scans to assess the hip joint's condition.

Procedure Description

1. Anesthesia: General or local anesthesia may be administered to ensure patient comfort.
2. Incision: A small incision is made near the hip area to access the joint.
3. Placement: The clevis type or thrust bearing device is carefully positioned around the hip joint.
4. Adjustment: The device is adjusted to provide optimal support and stability.
5. Closure: The incision is closed with sutures or surgical adhesives.

Tools and equipment include surgical instruments specific to orthopedic procedures and the specialized clevis or thrust bearing device.

Duration

The procedure typically takes 1-2 hours, depending on the complexity and the patient's specific condition.

Setting

The procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic Surgeon
• Surgical Nurses
• Anesthesiologist or Nurse Anesthetist
• Surgical Technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or blood clots
• Device displacement or failure
• Nerve or tissue damage
• Anesthesia-related risks

Benefits

• Improved pelvic stability and hip joint control
• Enhanced mobility and reduced pain
• Quicker return to daily activities

Benefits are often realized within a few days to weeks post-procedure, depending on individual recovery rates.

Recovery

• Follow-up appointments to monitor healing
• Physical therapy to aid in recovery and improve strength and flexibility
• Instructions on wound care and activity limitations
• Expected recovery time ranges from a few weeks to a few months depending on individual progress.

Alternatives

• Physical therapy alone
• Use of external braces or orthotics
• Alternative surgical options such as hip replacement or arthroscopy

Each alternative presents different pros and cons, such as varying recovery times, levels of invasiveness, and the effectiveness of symptom relief.

Patient Experience

During the procedure, the patient will be under anesthesia, so they should not feel any pain. Post-procedure, there may be some discomfort or pain managed with prescribed medications. The patient will likely experience swelling and a limited range of motion initially but should progressively improve with rehabilitation and follow-up care.