Name of the Procedure:

Elbow Wrist Hand Finger Orthosis (L3765) Common name(s): Custom Rigid Orthosis Technical/Medical terms: Elbow Wrist Hand Finger Orthosis, rigid, without joints, custom fabricated

Summary

An elbow wrist hand finger orthosis (L3765) is a custom-made, rigid support device designed to stabilize and protect the elbow, wrist, hand, and fingers. Made without joints, this orthosis includes soft interfacing and straps for comfort and adjustability, helping to ensure a proper fit and optimal functionality.

Purpose

This orthosis is used to provide stabilization, support, and corrective alignment for various conditions affecting the upper limb. It helps to immobilize the affected area, reducing pain and preventing further injury or deformity.

Indications

• Post-surgical stabilization
• Fractures and sprains of the elbow, wrist, hand, or fingers
• Neurological disorders leading to muscle weakness or spasticity
• Arthritis or severe joint inflammation
• Congenital deformities requiring support

Preparation

• No special preparation like fasting is usually required.
• The patient may need to undergo diagnostic imaging, such as X-rays, to assess the extent of injury or abnormality.
• Detailed measurement and fitting consultations are necessary for custom fabrication.

Procedure Description

1. Initial Assessment: The healthcare provider assesses the patient's condition and determines the need for the orthosis.
2. Measurement: Accurate measurements of the patient's arm, wrist, and hand are taken.
3. Fabrication: The orthosis is custom-fabricated based on the patient's specific measurements.
4. Fitting: Once fabricated, the orthosis is fitted to the patient, and adjustments are made to ensure comfort and effectiveness.
5. Instruction: Patient is instructed on how to wear, remove, and care for the orthosis.

Duration

The entire process from assessment to fitting and adjustment may take a few weeks, with each individual appointment lasting about 30 minutes to an hour.

Setting

This procedure is typically performed in an outpatient clinic, an orthotics and prosthetics office, or a rehabilitation center.

Personnel

• Orthotist: Responsible for measurement, fabrication, fitting, and adjustments.
• Physician: Oversees the process and handles any medical assessments or prescriptions.
• Medical assistant or nurse: May assist with documentation and preliminary assessments.

Risks and Complications

• Skin irritation or pressure sores
• Allergic reaction to materials
• Discomfort due to poor fit (usually rectifiable with adjustments)
• Rarely, incorrect immobilization leading to further injury

Benefits

• Pain relief due to immobilization
• Prevention of further injury or deformity
• Improved stability and functionality of the limb
• Enhanced healing post-surgery or post-injury

Recovery

• Patients may need to wear the orthosis for several weeks to months.
• Regular follow-up appointments for adjustments and monitoring.
• Patients are advised to perform gentle exercises, as prescribed, to maintain mobility in unaffected areas.
• Instructions on skin care to prevent pressure sores and other issues.

Alternatives

• Off-the-shelf braces or splints
  • Pros: Readily available, generally cheaper.
  • Cons: Less precise fit, potentially less effective.
• Surgery for severe deformities or injuries
  • Pros: Directly addresses structural issues.
  • Cons: Invasive, requires longer recovery time.
• Physical therapy
  • Pros: Non-invasive, focuses on strengthening and mobility.
  • Cons: May not provide immediate stabilization or relief.

Patient Experience

• During: The fitting and adjustment appointments are generally painless. Some discomfort may be experienced during initial use as the patient gets accustomed.
• After: Patients should follow care instructions carefully and attend follow-up appointments. Any discomfort or issues should be addressed promptly with the healthcare provider. Pain management might include over-the-counter pain relievers, if necessary.

By adhering to the prescribed use and care instructions, patients can generally expect significant improvement in the stability and functionality of their affected limb.