Name of the Procedure:

Transfer of an Orthosis from One Shoe to Another, Caliper Plate, Existing (L3600)

Summary

This procedure involves moving an existing orthopedic device (orthosis) designed to help support and align the foot or ankle from one shoe to another. The orthosis will be carefully transferred to ensure it provides the necessary support and functionality in the new shoe.

Purpose

The procedure addresses the need for ongoing orthopedic support when changing footwear. It ensures that the orthosis continues to provide the correct alignment and support to manage conditions such as foot deformities, arthritis, or muscle weakness. The goal is to maintain or improve mobility and reduce discomfort.

Indications

• Significant wear or damage to the current shoe while the orthosis is still functional.
• Switching to a new shoe for better fit, comfort, or appearance.
• Specific medical conditions like flat feet, plantar fasciitis, or ankle instability.
• Patients who have been prescribed orthoses for improved gait and support.

Preparation

• No special pre-procedure instructions like fasting or medication adjustments are typically needed.
• Ensure the new shoe is appropriate for orthosis placement and identical in function to support the orthosis.
• A fitting or assessment with a podiatrist or orthotist to make sure the new shoe is suitable and compatible.

Procedure Description

1. Assessment: The healthcare provider will inspect both the old and new shoes, ensuring the new shoe is appropriate for the orthosis.
2. Removal: The orthosis will be carefully removed from the old shoe, ensuring no damage to the device.
3. Adjustment: Any necessary adjustments or minor repairs to the orthosis will be made.
4. Fitting: The orthosis will be fitted into the new shoe, securing it in place to ensure it provides the same level of support and alignment.
5. Evaluation: The patient will be asked to try on the new shoe with the orthosis to ensure proper fit and comfort.

Tools and Equipment: No specific tools are usually involved beyond standard orthotic equipment; forceps and screwdrivers may be used for caliper adjustments. Anesthesia: Not required.

Duration

Typically, around 15 to 30 minutes.

Setting

Performed in an outpatient clinic, podiatrist's office, or orthotic clinic.

Personnel

• Orthotist
• Podiatrist or orthopedic technician

Risks and Complications

• Minimal risk involved.
• Potential for improper fit leading to discomfort or insufficient support.
• Rare risks of causing minor shoe or orthosis damage during the transfer.

Benefits

• Maintains necessary orthopedic support.
• Enhances comfort by ensuring the orthosis works well in the new shoe.
• Immediate improvement in stability and mobility.

Recovery

• No specific recovery time; patients can usually resume normal activities immediately.
• Follow-up appointment may be scheduled to reassess the fit and function of the orthosis in the new shoe.

Alternatives

• Using a new orthosis specifically designed for the new shoe:
  • Pros: Custom fit, potentially better performance.
  • Cons: Higher cost and time required for fabrication.
• Continuing to use the old shoe until a new orthosis is acquired:
  • Pros: Cost-effective in the short term.
  • Cons: Risk of decreased support and increased wear on the orthosis.

Patient Experience

The patient should experience minimal discomfort during the transfer process. There may be a brief period of adjustment as the orthosis settles into the new shoe. Any discomfort or issues with the fit should be reported to the healthcare provider for adjustments.