Name of the Procedure:

Common name(s): Addition to Knee Brace
Technical/Medical term: Addition to Lower Extremity Orthosis, Knee Control, Condylar Pad (HCPCS Code: L2810)

Summary

This procedure involves adding a specialized pad to a knee brace (orthosis). The pad, known as the condylar pad, helps to stabilize and control the knee joint, providing additional support and comfort.

Purpose

The primary goal of this procedure is to enhance knee stability and control for individuals who suffer from knee instability, arthritis, or other knee-related conditions. The condylar pad helps redistribute pressure and offers additional support, leading to improved mobility and reduced pain.

Indications

• Knee instability
• Osteoarthritis
• Post-surgical support
• Ligament injuries (e.g., ACL, MCL)
• Chronic knee pain

Preparation

• No specific preparation or fasting is generally required.
• The physician may conduct a physical examination of the knee and review medical history.
• In some cases, imaging studies like X-rays or MRI may be required to assess the knee’s condition.

Procedure Description

1. The patient is fitted with a knee brace designed to accommodate the addition of a condylar pad.
2. Measurements are taken to ensure the pad aligns properly with the patient’s knee joint.
3. The condylar pad is securely attached to the inside of the knee brace.
4. Adjustments are made to ensure the pad fits snugly and comfortably.
5. The patient is instructed on how to wear and adjust the knee brace with the new addition.

Duration

The fitting and adjustment process typically takes about 30 minutes to an hour.

Setting

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

Personnel

• Orthotist or prosthetist (specialist in designing and fitting orthopedic braces)
• Physician or orthopedic specialist
• Nurses or medical assistants for support

Risks and Complications

• Minor risks include discomfort or irritation from the brace.
• Rare complications may include skin breakdown or pressure sores if not fitted properly.
• These issues can usually be managed with minor adjustments to the brace or pad.

Benefits

• Improved knee stability and control
• Reduced pain and discomfort
• Enhanced mobility and ability to perform daily activities
• Benefits can often be realized immediately upon proper fitting of the brace.

Recovery

• Patients are typically able to resume normal activities immediately.
• Instructions on how to care for and adjust the brace will be provided.
• Follow-up appointments may be necessary to make any necessary adjustments and ensure the brace and pad are functioning correctly.

Alternatives

• Other types of knee braces without condylar pads
• Physical therapy to strengthen surrounding muscles
• Surgical intervention for more severe knee instability
• Pros and cons of alternatives would be discussed with the healthcare provider, weighing factors such as the severity of the condition, patient preference, and overall health.

Patient Experience

Patients might feel mild pressure from the new pad initially, but it should be comfortable after adjustment. Pain relief and enhanced knee stability are commonly reported. Any discomfort can typically be managed with the help of the orthotist and minor modifications to the brace.