Name of the Procedure:

Addition to Lower Extremity Orthosis, Knee Control, Full Kneecap
Common Name: Knee Orthosis with Full Kneecap Control
Medical Term: HCPCS Code L2795

Summary

This procedure involves adding a component to a lower extremity orthosis, specifically designed to offer knee control and full kneecap coverage. It's a non-invasive procedure typically involving fitting and adjusting the orthosis to ensure proper knee stabilization and support.

Purpose

This procedure aims to provide enhanced stability and protection to the knee joint. It addresses various medical conditions that result in knee instability or misalignment, helping to reduce pain, improve mobility, and prevent further injury.

Indications

• Knee instability due to ligament injuries (e.g., ACL, MCL)
• Post-operative knee support
• Chronic knee pain from arthritis or other degenerative conditions
• Patellar instability or dislocation
• Rehabilitation following knee surgery or injury

Preparation

• No specific fasting or dietary restrictions are usually required.
• Patients may need to undergo a physical examination or imaging tests (e.g., X-rays, MRI) to assess the knee condition.
• Provide a detailed medical history, including any allergies or current medications.

Procedure Description

1. Assessment and Measurement: The healthcare provider evaluates the patient’s knee condition and takes precise measurements of the lower extremity.
2. Fitting the Orthosis: The orthosis is fitted, adjusted for comfort and effectiveness in controlling the knee and stabilizing the kneecap.
3. Instruction: The patient is instructed on how to wear the orthosis and care for it.

Equipment Used:

• Lower extremity orthosis device with knee control and full kneecap component
• Measuring tools

Anesthesia or Sedation: None required

Duration

The fitting and adjustment of the orthosis typically take about 30 minutes to 1 hour.

Setting

The procedure is typically performed in:

• An orthopedic or rehabilitation clinic
• An outpatient clinic

Personnel

• Orthopedic specialists or prosthetists
• Physical therapists, if involved in rehabilitation

Risks and Complications

• Common Risks: Skin irritation, discomfort due to improper fit
• Rare Risks: Pressure sores, allergic reactions to materials
• Management: Adjusting the fit, using protective padding, and monitoring skin condition

Benefits

• Improved knee stability and function
• Pain relief and reduced risk of further injury
• Enhanced mobility and ability to perform daily activities

Recovery

• Patients can usually resume normal activities immediately after fitting, with some restrictions based on the underlying condition.
• Follow-up appointments may be necessary to adjust the orthosis as needed.
• Patients should follow care and maintenance instructions for the orthosis.

Alternatives

• Physical Therapy: Exercises to strengthen the knee joint
• Medication: Pain relievers or anti-inflammatory drugs
• Surgery: In severe cases, corrective surgical procedures may be recommended

Pros and Cons:

• Orthosis: Non-invasive, immediate relief, can be adjusted; may be uncomfortable or require time to get used to.
• Surgery: Potentially long-term solution; invasive with longer recovery time and higher risks.

Patient Experience

• During Procedure: May feel some discomfort during the fitting and adjustment but generally minimal.
• After Procedure: Patients might experience some initial discomfort or pressure until they get used to wearing the orthosis. Pain management is generally not necessary, but over-the-counter pain relief can be used if needed.
• Comfort Measures: Ensuring an accurate fit and using protective padding can enhance comfort. Regular adjustments may be needed for optimal effectiveness.