Name of the Procedure:

Wrist Hand Finger Orthosis (WHFO), Rigid Without Joints, Custom Fabricated

Summary

A Wrist Hand Finger Orthosis (WHFO) is a custom-made medical device designed to immobilize the wrist, hand, and fingers. It is rigid and does not have joints but may include soft materials for comfort and adjustable straps. The device is used to provide support, aid in healing, and improve functionality of the wrist and hand.

Purpose

The WHFO is primarily used to treat various conditions affecting the wrist, hand, and fingers. It aims to:

• Immobilize the affected area to facilitate healing.
• Provide support and stabilization.
• Reduce pain and discomfort.
• Improve overall hand function and mobility.

Indications

• Fractures or dislocations of the wrist, hand, or fingers.
• Post-surgical recovery for hand and wrist operations.
• Chronic conditions like arthritis or carpal tunnel syndrome.
• Nerve injuries or muscle weakness requiring stabilization.

Preparation

• No special preparation such as fasting is typically required.
• A thorough medical assessment and imaging tests (like X-rays) might be conducted to determine the precise specifications for the custom orthosis.
• Patients should inform their healthcare provider of any allergies or skin conditions.

Procedure Description

1. A healthcare professional will evaluate the patient's hand and wrist.
2. Measurements and molds of the affected area may be taken to ensure a custom fit.
3. The orthosis is fabricated based on these specifications.
4. The patient will have a fitting session where the orthosis is adjusted for comfort and effectiveness.
5. Instructions on how to wear and care for the device will be provided.

Tools and Equipment:

• Molding materials
• Measuring tools
• Soft interface materials and rigid orthotic components

Anesthesia or Sedation:

• Generally, no anesthesia or sedation is needed as the orthosis is non-invasive.

Duration

The entire process, from measurement to fitting, typically takes a few hours spread over multiple visits.

Setting

• The procedure is performed in an outpatient clinic or specialized orthotics and prosthetics center.

Personnel

• Orthotists (professionals specialized in orthotic device fabrication)
• Physicians or specialized hand surgeons
• Nurses or assistants may help in the fitting process

Risks and Complications

• Skin irritation or pressure sores from the orthosis
• Discomfort if the orthosis is not properly fitted
• Restricted blood flow if worn too tightly
• Rare cases of allergic reactions to the materials used

Benefits

• Immediate support and stabilization of the wrist, hand, and fingers.
• Pain relief and improved functionality.
• Enhanced healing process for fractures, surgeries, and other conditions.
• Custom fabrication ensures a better fit and increased comfort.

Recovery

• Patients should wear the orthosis as directed by their healthcare provider.
• Regular follow-up appointments may be necessary to adjust the fit.
• Recovery time varies depending on the underlying condition but can range from several weeks to a few months.
• Avoid strenuous activities that can strain the affected area.

Alternatives

• Pre-fabricated orthotic devices: Cheaper but may not fit as well.
• Physical therapy: To enhance mobility and strength without devices.
• Surgical interventions: For severe conditions but come with higher risks and longer recovery times.

Pros and Cons:

• Custom orthosis: Better fit, more effective but more expensive.
• Pre-fabricated: More affordable but less personalized.
• Surgery: Potentially permanent solution with inherent surgical risks.

Patient Experience

• Patients may feel initial tightness or discomfort which should subside with proper adjustment.
• Pain management strategies, including over-the-counter pain relievers, may be recommended.
• Detailed instructions on cleaning and maintaining the orthosis will promote long-term comfort and effectiveness.