Name of the Procedure:

Addition to Lower Extremity Orthosis, High Strength, Lightweight Material, All Hybrid Lamination/Prepreg Composite, Per Segment, for Custom Fabricated Orthosis Only (L2755)

Summary

This procedure involves the addition of a high-strength, lightweight segment to an existing lower extremity orthosis (such as a brace). The segment is made of advanced composite materials and is custom fabricated to ensure a precise fit and enhanced functionality.

Purpose

The procedure aims to strengthen and lighten lower extremity orthoses, improving support and mobility for patients. It enhances durability and comfort, making daily activities easier and reducing fatigue.

Indications

• Chronic conditions like osteoarthritis or rheumatoid arthritis affecting the lower limbs.
• Post-operative recovery requiring additional support.
• Congenital deformities or injuries needing long-term orthopedic support.

Preparation

• No specific pre-procedure instructions like fasting or medication adjustment.
• A thorough assessment by an orthotist to measure and design the custom segment.

Procedure Description

1. An orthotist assesses the existing orthosis and patient's requirements.
2. Measurements are taken, and a custom composite segment is designed.
3. The high-strength, lightweight lamination/prepreg composite material is fabricated.
4. The new segment is securely attached to the existing orthosis, ensuring alignment and comfort.
5. Adjustments are made as necessary for a perfect fit.

Tools and Equipment:

• Measurement tools, lamination/prepreg composite materials, adhesives, and custom fabrication tools.

Duration

The fabrication and attachment process typically takes a few days, with a single fitting session lasting about 1-2 hours.

Setting

This procedure is performed in an outpatient clinic or an orthotics/prosthetics workshop.

Personnel

• Certified orthotist
• Medical assistant (if necessary)

Risks and Complications

• Minor discomfort during initial fitting, which usually resolves quickly.
• Rare risk of skin irritation or pressure sores if the fit is not perfect.
• Adjustments might be needed over time as the patient's condition changes.

Benefits

• Enhanced support and stability in the lower extremities.
• Lightweight material reduces fatigue compared to traditional orthotic materials.
• Custom fit improves comfort and functionality, often noticeable immediately.

Recovery

• Immediate use of the orthosis post-fitting.
• Routine check-ups to ensure optimal fit and function.
• Minor adjustments as needed.

Alternatives

• Off-the-shelf orthoses, which may not provide the same level of customization and comfort.
• Traditional materials like metal or hard plastic, which are heavier and less comfortable.
• Physical therapy alone, which may not provide sufficient support for some conditions.

Patient Experience

Patients typically feel a better overall balance and support during daily activities. Minor initial discomfort may occur, which can be managed with adjustments. Most patients report significant improvements in mobility and comfort after the fitting. Pain management and comfort measures are addressed through the custom fit and material properties of the orthosis.