Name of the Procedure:

Addition to Lower Extremity Orthosis, Femoral Length Sock, Fracture or Equal, Each (L2850)

Summary

Adding a femoral length sock to a lower extremity orthosis involves fitting a specialized sock that extends up the thigh to a lower extremity brace. This sock helps improve comfort and support when using the orthotic device, especially useful in fracture management or for other medical conditions requiring leg support.

Purpose

This procedure aims to enhance comfort and functionality of a lower extremity orthosis (brace) by providing additional cushioning and support. It is particularly beneficial for individuals recovering from fractures or those needing extra support for leg conditions. The goal is to improve mobility, reduce discomfort, and ensure the orthosis fits better.

Indications

• Patients with leg fractures needing additional support.
• Individuals experiencing discomfort or skin irritation from their current orthosis.
• Those requiring enhanced stability and padding for their lower extremities.

Preparation

• Ensure the orthotic device fits correctly and is in good working condition.
• No specific fasting or medication adjustments are necessary unless advised by your healthcare provider.
• A fitting session may be required to tailor the femoral length sock to individual needs.

Procedure Description

1. Assessment: The healthcare provider will assess the patient's need for additional support and examine the current orthosis.
2. Measurement: Accurate measurements of the lower extremity, including thigh length, are taken.
3. Fitting: The femoral length sock is selected and fitted over the thigh and lower leg. Adjustments are made to ensure a snug fit.
4. Final Adjustment: The orthotic device is then put on and adjusted to accommodate the new sock, ensuring there are no pressure points or discomfort.

Tools & Equipment:

• Measuring tape
• Femoral length sock
• Lower extremity orthotic device

Anesthesia or Sedation: Not typically required.

Duration

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

Setting

The procedure is commonly performed in an outpatient clinic, orthotic supplier's office, or a rehabilitation center.

Personnel

• Orthotist or Prosthetist
• Physical Therapist (optional)
• Nurse (optional)

Risks and Complications

• Skin irritation or allergic reaction to materials.
• Improper fitting leading to discomfort.
• Rarely, there could be issues with circulation if the sock is too tight.

Benefits

• Increased comfort when wearing the orthosis.
• Improved support and stability of the lower extremity.
• Reduced risk of skin irritation from the orthotic device. Benefits are usually realized immediately after fitting and adjustment.

Recovery

• Minimal recovery time is needed; patients can usually resume normal activities immediately.
• Follow-up adjustments may be necessary based on patient feedback.
• Routine cleaning and care instructions for the femoral length sock are provided.

Alternatives

• Different types of padding material added to the orthosis.
• Custom orthotic inserts.
• Alternative orthosis designs that may offer better support or comfort. Considerations:
• The alternatives may vary in cost and effectiveness.
• Some alternatives might require additional fittings and adjustments.

Patient Experience

During the procedure, patients can expect:

• Some minor adjustments and movements as the orthotist fits the sock and orthosis.
• Minimal discomfort during the fitting process.

Afterward:

• Patients should feel increased comfort and support.
• Any pain or discomfort can typically be managed with over-the-counter pain relief if necessary.

Pain management and comfort measures are minimal given the non-invasive nature of the procedure.