Name of the Procedure:

Common Name: High-Top Orthopedic Shoe with Supinator or Pronator for Juniors
Technical Term: HCPCS Code L3207

Summary

These high-top orthopedic shoes are designed for junior patients to correct foot alignment issues. They specifically provide support for either supination (outward rolling of the foot) or pronation (inward rolling of the foot).

Purpose

The primary goal is to alleviate discomfort and prevent further complications associated with improper foot alignment. These shoes help improve walking patterns and overall foot function in children.

Indications

• Abnormal gait patterns (e.g., walking on the inside or outside of the foot)
• Foot pain related to alignment issues
• Diagnosed conditions like flat feet or high arches
• Post-operative support following foot surgery

Preparation

• No special preparation like fasting is required.
• A thorough foot and gait assessment by a healthcare professional is necessary to determine the need and precise type of orthopedic shoe.

Procedure Description

1. Assessment: The process begins with a detailed foot and gait analysis, often conducted by a podiatrist or orthopedic specialist.
2. Fitting: The patient then undergoes a fitting session to ensure the high-top orthopedic shoe is customized for their specific foot alignment needs.
3. Custom Inserts: If needed, custom insoles (supinators or pronators) are crafted to fit within the shoe.

4. Instruction: Parents and patients receive instruction on how to wear the shoes and the importance of consistent use.

   No anesthesia or sedation is necessary.

Duration

The fitting and assessment process can take between 1 to 2 hours.

Setting

The procedure is typically performed in an outpatient clinic or a specialized orthopedic shoe store.

Personnel

• Orthopedic Specialist or Podiatrist
• Orthopedic Shoe Fitter or Technician

Risks and Complications

• Minor discomfort or skin irritation as the patient gets used to the new shoe
• Potential for inadequate correction if the shoe is not fitted properly
• Risk of non-compliance due to discomfort or appearance concerns

Benefits

• Improved foot alignment and gait
• Reduced pain and discomfort in the feet, legs, and lower back
• Prevention of future musculoskeletal issues

Benefits can often be noticed within a few weeks of consistent wear.

Recovery

There is no recovery period as it is not a surgical procedure. However, regular follow-up appointments are recommended to monitor progress and make any necessary adjustments to the shoes.

Alternatives

• Over-the-counter orthotic inserts
• Physical therapy to strengthen foot muscles
• Other types of custom orthotic footwear

Alternatives may be less tailored to the individual’s unique alignment issues.

Patient Experience

• Initial adjustment period where mild discomfort might be felt
• Gradual improvement in foot comfort and walking ease
• Regular check-ins with a healthcare provider to ensure continued improvement