Name of the Procedure:

Elbow Orthosis, Double Upright with Forearm/Arm Cuffs, Adjustable Position Lock with Active Control, Custom Fabricated (L3740)

Summary

This custom-fabricated elbow orthosis is a brace designed to support and stabilize the elbow joint. It features double uprights, forearm and arm cuffs, and an adjustable position lock with active control to enhance joint stability and aid in muscle recovery.

Purpose

The elbow orthosis is used to aid in the rehabilitation and stabilization of the elbow joint following an injury, surgery, or in cases of chronic conditions such as arthritis. The goal is to limit unwanted movement, reduce pain, and facilitate healing or improve joint function.

Indications

• Elbow injuries (e.g., fractures, dislocations).
• Post-surgical stabilization.
• Chronic elbow conditions such as severe arthritis or tendonitis.
• Patients requiring controlled and gradual range of motion adjustments.
• Those who have not responded to less restrictive bracing options.

Preparation

• The patient will typically undergo a physical examination and possibly imaging tests (like X-rays or MRIs) to assess the extent of the elbow issue.
• No specific fasting or medication adjustments are generally required.
• The orthosis will be custom-fabricated to ensure a proper fit, often involving measurements or molds of the patient’s arm.

Procedure Description

1. Initial Assessment: The healthcare provider will assess the elbow and take necessary measurements or molds.
2. Fabrication: The orthosis is custom-made in a specialized facility based on the collected data.
3. Fitting: Once fabricated, the patient will return for a fitting appointment where adjustments are made for comfort and function.
4. Adjustment: The adjustable position lock will be set according to the patient’s movement needs and recovery goals.
5. Instruction: The patient will be instructed on how to wear, adjust, and take care of the brace.

Duration

The fabrication process may take one to two weeks. Fitting and adjustment appointments usually last about 30 to 60 minutes.

Setting

This procedure is generally managed in an outpatient setting—such as a clinic or orthopedic office—where the assessments, fittings, and adjustments can take place.

Personnel

• Orthopedic or rehabilitation specialist.
• Orthotist (a specialist in custom brace fabrication).
• Nursing staff for support and instruction.

Risks and Complications

• Skin irritation or pressure sores from the orthosis.
• Allergic reactions to materials used.
• Potential misalignment if incorrectly fitted, leading to discomfort or ineffective support.
• Limited range of motion adjustments.

Benefits

• Enhanced stabilization and protection of the elbow.
• Reduced pain and discomfort.
• Improved function and customized healing environment.
• Custom fit ensures greater comfort and effectiveness.

Recovery

• Immediate post-fitting use is typical with adjustments as needed.
• Patients may need to wear the orthosis for several weeks or months, depending on their condition.
• Regular follow-up appointments to monitor progress and make necessary adjustments.
• Instructions on weight-bearing, activity restrictions, and exercises to complement the use of the orthosis.

Alternatives

• Soft braces or sleeve-type supports.
• Physical therapy with no bracing.
• Over-the-counter elbow supports.
• Surgical intervention in severe cases.

Patient Experience

Patients may feel an initial tightness or pressure from the new orthosis, which should subside with proper adjustment. Mild discomfort is common as they adjust to wearing the brace. Pain management typically isn’t necessary, but over-the-counter medications can be used if advised by a healthcare provider. Ongoing comfort measures and periodic adjustments help ensure the orthosis continues to meet the patient’s needs efficiently.