Name of the Procedure:

• Common Names: Adjustable hip joint control addition
• Technical/Medical Term: Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each (HCPCS L2622)

Summary

This procedure involves adding an adjustable device to the hip joint to control the flexion of the pelvic and lower extremity area. It is typically used in orthopedic or rehabilitation settings to enhance joint stability and mobility.

Purpose

• Addresses: Conditions like hip instability, limited range of motion, or muscle weakness.
• Goals: To provide better control over hip movement, improve mobility, and enhance joint stability.

Indications

• Symptoms/Conditions: Hip joint instability, post-surgical rehabilitation, neuromuscular disorders affecting the hip.
• Patient Criteria: Individuals with unstable hip joints, reduced mobility, or those needing post-operative support.

Preparation

• Instructions: Fasting typically not required. Follow specific instructions from healthcare provider.
• Diagnostic Tests: X-rays, MRI scans, or physical assessments may be needed to evaluate hip condition.

Procedure Description

1. Preparation: Patient is positioned appropriately based on the affected hip.
2. Adjustment: The adjustable flexion device is fitted to the hip joint.
3. Customization: The device is adjusted to provide the needed level of support and flexion control.
4. Securement: Ensuring the device is securely fitted and comfortable.

• Tools/Equipment: Adjustable flexion hip joint device, supportive straps or bands.
• Anesthesia/Sedation: Typically not necessary as this is a non-invasive, fitting procedure.

Duration

The procedure generally takes about 30 minutes to 1 hour.

Setting

This procedure is commonly performed in an outpatient clinic or a rehabilitation center.

Personnel

• Healthcare Professionals: Orthopedic specialists, physical therapists, and trained medical technicians.

Risks and Complications

• Common Risks: Mild discomfort, skin irritation.
• Rare Risks: Improper fit leading to unbalanced support, potential misalignment.
• Management: Adjustments or modifications to the device.

Benefits

• Expected Benefits: Improved hip stability, enhanced mobility, reduced pain or discomfort.
• Realization: Benefits can often be felt immediately after adjustment; full adaptation may take several days.

Recovery

• Post-Procedure Care: Follow-up adjustments may be needed. Monitor for skin irritation or discomfort.
• Recovery Time: Generally, immediate return to normal activities with guidance.
• Restrictions/Follow-Up: Regular check-ins for evaluation and device adjustments.

Alternatives

• Other Treatment Options: Physical therapy, fixed braces, surgical interventions.
• Pros and Cons: Non-invasive and adjustable compared to surgery, more dynamic compared to fixed braces.

Patient Experience

• During the Procedure: Mild to moderate discomfort during adjustment.
• After the Procedure: Potential initial discomfort which usually subsides. Gradual improvement in movement and stability.
• Pain Management/Comfort: Over-the-counter pain relief if needed, comfort measures such as padding to prevent irritation. Regular follow-up for adjustments to ensure optimum comfort and function.