Name of the Procedure:

Addition to Lower Extremity, Pelvic Control, Hip Joint, Clevis or Thrust Bearing, Lock, Each (HCPCS Code: L2610)

Summary

This procedure involves adding a specialized component to a lower extremity device (like a prosthesis or orthosis) to enhance pelvic control and stabilize the hip joint. The added part, such as a clevis, thrust bearing, or lock, helps improve the functionality and comfort of the device.

Purpose

Medical Conditions

• Hip dislocations
• Pelvic instability
• Severe arthritis
• Loss of muscle control around the hip ##### Goals
• Improve stability and mobility of the pelvic and hip regions
• Enhance the functionality of the lower extremity prosthesis or orthosis
• Provide better support and alignment for daily activities

Indications

• Chronic hip pain or instability
• Difficulty in walking or standing due to hip problems
• Patients with lower extremity prosthetics requiring additional support for effective use
• Individuals with conditions like hip dislocations or severe arthritis impacting hip stability

Preparation

Pre-procedure Instructions

• Follow any dietary instructions from your healthcare provider
• Discuss current medications with your doctor; some may need to be paused
• Attend any required pre-procedure assessments or fittings for the device ##### Diagnostic Tests
• Hip and pelvic X-rays or MRIs
• Gait analysis or other physical evaluations

Procedure Description

1. Evaluation: Initial fitting and physical assessment by a healthcare professional.
2. Customization: The prosthesis or orthosis is tailored to the patient's specific needs.
3. Addition: The clevis, thrust bearing, or lock is attached to the existing device.
4. Adjustment: The device is adjusted for proper alignment and comfort.
5. Testing: Conduct a series of tests to ensure the device functions correctly. ##### Tools and Equipment
   • Prosthetic or orthotic device
   • Clevis and thrust bearing components
   • Adjustment tools ##### Anesthesia
   • Typically, no anesthesia is required as it is a non-invasive procedure.

Duration

• Generally, the procedure takes 1 to 2 hours, including fitting and adjustments.

Setting

• A hospital, outpatient clinic, or specialized prosthetics and orthotics center.

Personnel

• Prosthetist or Orthotist
• Physical Therapist (if needed for gait analysis)
• Physician (overseeing the entire process)

Risks and Complications

Common Risks

• Skin irritation or discomfort
• Initial difficulty in walking or adjusting to the device ##### Rare Risks
• Device malfunction
• Misalignment requiring readjustment ##### Management
• Follow-up visits and adjustments as necessary
• Immediate consultation if severe discomfort or malfunction occurs

Benefits

• Improved mobility and stability
• Enhanced quality of life due to better movement and less pain
• Immediate improvement in walking function for many patients

Recovery

Post-procedure Care

• Follow-up appointments for monitoring and adjustments
• Regular maintenance of the prosthetic device ##### Expected Recovery Time
• Most patients adjust within a few days to a couple of weeks
• Continued improvement as patients become accustomed to the device

Alternatives

• Other types of orthotic or prosthetic adjustments
• Surgical interventions for severe cases (e.g., hip replacement) ##### Pros and Cons
• This addition is less invasive than surgical options but might not be suitable for all severity levels.
• Alternative orthotic adjustments might be less effective in providing stability.

Patient Experience

During the Procedure

• Minimal discomfort as the procedure is non-invasive. ##### After the Procedure
• Initial period of adjustment to the new device component
• Possible muscle soreness as the body adapts
• Pain management with over-the-counter pain relievers, if necessary
• Instructions for use and maintenance provided by healthcare professionals