Name of the Procedure:

Common Name: Orthotic Lower Extremity Extension Adjustment
Technical/Medical Term: Addition to Lower Extremity Orthosis, Extension, Per Extension, Per Bar (For Lineal Adjustment for Growth) (L2760)

Summary

This procedure involves adding an extension to an existing lower extremity orthosis (brace) to accommodate growth or other linear adjustments. It helps ensure the orthosis continues to fit and function correctly as the patient grows or as adjustments become necessary.

Purpose

Medical Conditions/Problems Addressed:

• Growth in children using orthotic devices
• Adjustments needed for better alignment and functionality

Goals/Expected Outcomes:

• Maintain proper fit of the orthosis
• Ensure continued support and effectiveness of the orthotic device
• Accommodate for natural growth or changes in the lower extremity.

Indications

Symptoms/Conditions Warranting Procedure:

• Outgrown or poorly fitting lower extremity orthoses
• Discomfort or reduced functionality of the existing orthosis

Patient Criteria/Factors Making the Procedure Appropriate:

• Children or individuals in growth phases using lower extremity orthoses
• Patients experiencing discomfort or misalignment due to orthosis fit.

Preparation

Pre-procedure Instructions:

• Typically, no special preparations like fasting or medication adjustments are necessary.

Diagnostic Tests/Assessments:

• A thorough physical examination, including measurements of the lower extremity.
• Review of the current orthosis fit and function.

Procedure Description

1. Assessment: The orthotist measures the patient's lower extremity to determine the required extension length.
2. Equipment Prep: The existing orthosis is positioned for modification.
3. Adjustment: A new extension bar is added to the orthosis. This may involve cutting, fitting, and securing the extension.
4. Fit Check: The orthosis is then fitted back onto the patient to ensure proper alignment and comfort.
5. Final Adjustments: Any minor tweaks are made to ensure optimal functionality.

Tools/Equipment Used:

• Measuring tools, cutting instruments, extension bars, and securing devices.

Anesthesia/Sedation Details:

• Generally, no anesthesia or sedation is required as the procedure is non-invasive.

Duration

The procedure typically takes about 30-60 minutes, depending on the complexity of the adjustment.

Setting

This procedure is usually performed in an outpatient orthotic clinic.

Personnel

Healthcare Professionals Involved:

• Orthotist (specialist in orthotic devices)
• Support staff for assistance

Risks and Complications

Common Risks:

• Minor skin irritation
• Temporary discomfort

Rare Risks and Complications:

• Orthosis misalignment leading to gait issues
• Mechanical failure of the added extension

Management of Complications:

• Follow-up visits for adjustments
• Repairs or further modifications if necessary

Benefits

Expected Benefits:

• Improved fit and comfort of the orthosis
• Enhanced functionality and mobility
• Accommodation for growth in pediatric patients

Timeframe to Realize Benefits:

• Benefits are typically observed immediately after the adjustment and can continue as the patient grows.

Recovery

Post-procedure Care and Instructions:

• Monitor for any signs of discomfort or skin irritation
• Regular follow-up visits to ensure continued proper fit

Expected Recovery Time:

• No significant recovery time; patient can resume normal activities immediately

Restrictions or Follow-Up Appointments:

• Regular check-ups to monitor growth and orthosis fit

Alternatives

Other Treatment Options:

• Complete replacement of the orthosis
• Advanced custom orthotic designs

Pros and Cons of Alternatives:

• Replacement: More expensive, but potentially offers a better long-term solution.
• Advanced Designs: May provide superior comfort and functionality but at a higher cost and longer fabrication time.

Patient Experience

During the Procedure:

• Minimal discomfort; patient may experience some sensations as the orthosis is adjusted.

After the Procedure:

• Slight adjustment period to the modified orthosis
• Pain management usually not necessary, but over-the-counter pain relievers can be used if needed
• Emphasis on comfort and mobility enhancements immediately following the adjustment.