Name of the Procedure:

Common Name: Custom Wrist-Hand Orthosis
Technical Term: L3905 Orthosis, wrist-hand, custom fabricated, includes fitting and adjustment

Summary

A custom wrist-hand orthosis is a supportive device designed to improve the function and alignment of the wrist and hand. It typically includes one or more non-torsion joints, elastic bands, turnbuckles, and may have a soft interface and straps. This orthosis is custom-fabricated to individually fit the patient and includes the necessary fitting and adjustments.

Purpose

Medical Conditions or Problems Addressed:

• Carpal tunnel syndrome
• Arthritis
• Tendonitis
• Post-surgical recovery of wrist or hand
• Chronic and acute injuries or deformities

Goals or Expected Outcomes:

• Stabilization of the wrist and hand
• Pain relief
• Improved function and mobility
• Enhanced rehabilitation process

Indications

Specific Symptoms or Conditions:

• Persistent wrist pain or discomfort
• Chronic wrist instability
• Post-operative recovery requiring immobilization
• Traumatic injuries affecting wrist or hand mobility
• Degenerative joint diseases affecting hand function

Patient Criteria:

• Patients needing enhanced wrist and hand stability
• Those requiring custom-fit support for complex conditions
• Patients not responding to standard orthoses or treatments

Preparation

Pre-Procedure Instructions:

• No special fasting or medication adjustments are typically required.
• Patients may be advised to bring any medical records or imaging related to their wrist and hand conditions.

Diagnostic Tests:

• Physical examination of the wrist and hand
• Imaging tests like X-rays or MRIs, if required

Procedure Description

Step-by-Step Explanation:

1. Initial Consultation: A thorough assessment of the patient's wrist and hand.
2. Casting or Scanning: Measurement and casting or digital scanning of the wrist and hand to create a custom mold.
3. Fabrication: The orthosis is custom fabricated based on the mold.
4. Fitting: The patient returns for fitting, where adjustments are made for comfort and effectiveness.
5. Adjustment: Fine-tuning of the orthosis for optimal fit and function.
6. Instruction: The patient is trained on how to wear, adjust, and care for the orthosis.

Tools and Technology:

• Casting materials or digital scanners
• Specialized fabrication tools
• Adjustable components like elastic bands and turnbuckles

Anesthesia or Sedation Details:

• Not applicable; the procedure is non-invasive.

Duration

• Initial fitting session: Approximately 1-2 hours.
• Follow-up adjustment sessions: Typically 30 minutes each.

Setting

• Outpatient clinic or specialized orthotics facility

Personnel

• Orthotist
• Physical or occupational therapist (if needed)

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Initial discomfort during the break-in period

Rare Risks:

• Allergic reactions to materials
• Incorrect fit leading to ineffective results

Possible Complications:

• Justing or replacing the orthosis if it doesn’t fit correctly

Benefits

Expected Benefits:

• Immediate stabilization and support
• Gradual improvement in hand and wrist function
• Pain reduction

Timeline:

• Benefits are typically noticeable within a few days to weeks.

Recovery

Post-Procedure Care:

• Regular inspection for wear and tear
• Skin care to prevent irritation

Expected Recovery Time:

• Varies based on individual conditions; typically, daily use over several weeks.

Restrictions or Follow-Up:

• Regular follow-up appointments for adjustments

Alternatives

Other Treatment Options:

• Standard prefabricated orthoses
• Physical therapy
• Oral or injected medications
• Surgical options for severe cases

Pros and Cons:

• Custom orthosis offers personalized fit and effectiveness but can be more expensive and time-consuming to produce compared to prefabricated options.

Patient Experience

During the Procedure:

• Minimal discomfort during fitting and adjustment

After the Procedure:

• Initial period of adaptation to the orthosis
• Potential discomfort as the body adjusts, managed by periodic adjustments and skin care measures.