Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Elbow Orthosis, Without Joints – Custom Fabricated (HCPCS L3702)
Summary
An elbow orthosis without joints is a custom-made brace designed to support and stabilize the elbow. It includes soft materials and straps to ensure a secure and comfortable fit. The device is custom fabricated to meet the unique anatomical needs of the patient and includes fitting and adjustment.
Purpose
The elbow orthosis without joints is used to immobilize, protect, and support the elbow in cases of injury or surgery. It aims to promote healing by limiting movement, reducing pain, and preventing further injury.
Indications
- Elbow fractures or dislocations
- Post-surgical immobilization
- Tendonitis or tendon injuries
- Elbow ligament injuries
- Chronic elbow instability
Preparation
- No specific pre-procedure instructions like fasting are typically required.
- A thorough evaluation by a healthcare provider.
- Imaging tests such as X-rays or MRIs may be necessary to assess the injury and plan for the orthosis.
Procedure Description
- Assessment: The healthcare provider will assess the elbow to determine the extent of the injury or condition.
- Measurement: Precise measurements of the elbow and surrounding areas are taken.
- Fabrication: The orthosis is custom-made based on the measurements and specific needs.
- Fitting: The device is fitted to the patient, ensuring comfort and proper alignment.
- Adjustment: Straps and soft interfaces are adjusted for optimal support and immobilization.
Duration
The entire process, from assessment to fitting, generally takes a few hours but may be spread over multiple visits depending on the complexity.
Setting
The procedure is usually performed in an orthopedic clinic or a specialized medical fitting center.
Personnel
- Orthopedic specialist or surgeon
- Orthotist (specialist in creating and fitting orthoses)
- Medical assistants or nurses
Risks and Complications
- Skin irritation or pressure sores
- Incorrect fitting leading to inadequate support
- Rare risk of blood flow restriction if the device is too tight
Benefits
- Immediate immobilization and support for the elbow
- Reduced pain and discomfort
- Improved healing of the injured area
- Prevention of further injury
Recovery
- Follow-up appointments to monitor healing and adjust the orthosis as necessary.
- Instructions on how to care for the orthosis and skin underneath.
- Typical recovery time varies from a few weeks to several months, depending on the underlying condition.
Alternatives
- Prefabricated braces
- Physical therapy
- Surgical interventions in severe cases
- Pros: Custom orthosis provides a tailored fit and superior support.
- Cons: More time-consuming and expensive compared to prefabricated options.
Patient Experience
Patients might experience some initial discomfort as they get accustomed to the orthosis. Pain is generally managed with over-the-counter pain relievers. Patients are typically able to perform daily activities with some modifications and are advised to follow all care and usage instructions to ensure a smooth recovery.