Name of the Procedure:

Addition to Lower Extremity Orthosis, Tibial Length Sock, Fracture or Equal, Each (L2840)

• Common Names: Tibial Length Sock, Fracture Sock
• Medical Terms: Custom Orthotic Sock, Tibial Orthosis Addition

Summary

This procedure involves adding a specialized sock to a lower extremity orthosis (such as a brace) that extends to the tibial length. This sock is designed to provide additional support and protection for individuals recovering from fractures or those needing extra stabilization of the lower leg.

Purpose

• Addresses medical conditions such as fractures of the lower leg, shin splints, and other structural weaknesses.
• Aims to provide additional stability, promote healing, and improve comfort while wearing a lower extremity orthosis.

Indications

• Patients with fractures in the lower leg.
• Individuals using a lower extremity orthosis needing extra padding or protection to reduce irritation and enhance comfort.
• Patients with shin splints or other conditions requiring extra support of the tibial area.

Preparation

• Generally, no specific preparation is needed.
• Ensure appropriate fitting of the lower extremity orthosis.
• Patients may be advised to maintain clean and dry skin where the sock will be applied.

Procedure Description

1. Fitting: The healthcare provider will assess the patient's leg to ensure proper size and fit of the orthotic sock.
2. Application: The sock is carefully placed over the lower leg, beneath the orthosis.
3. Adjustment: Ensure there are no wrinkles or folds in the sock, as they can cause pressure points.
4. Secure the Orthosis: Once the sock is in place, the orthosis is fitted over it.

Tools & Equipment: Custom tibial length sock, lower extremity orthosis.

Anesthesia: Not applicable.

Duration

• The application takes approximately 10-20 minutes.

Setting

• Typically performed in an outpatient clinic or orthopedic office.

Personnel

• Orthopedic technician or trained healthcare provider (e.g., nurse, physical therapist).

Risks and Complications

• Common Risks: Skin irritation, discomfort if not fitted properly.
• Rare Risks: Allergic reaction to the material, pressure sores from improper use.

Benefits

• Provides enhanced support and comfort.
• Facilitates better healing post-fracture.
• Reduces irritation from the orthosis.

Recovery

• Immediate use post-application.
• Regular cleaning of the sock as per healthcare provider's instructions.
• Follow-up appointments to monitor healing and adjust the orthosis if needed.

Alternatives

• Other Options: Using a custom-molded orthosis without the sock, additional padding inside the orthosis.
• Pros and Cons: Alternatives might offer similar support but could lack the specific tailored fit and comfort provided by the sock addition.

Patient Experience

• During: Minimal discomfort, similar to putting on a snug, supportive sock.
• After: Improved comfort and less irritation while wearing the lower extremity orthosis. Pain, if any, should be minimal and managed with over-the-counter pain medication if needed.