Name of the Procedure:

Hand and Finger Orthosis (L3913)
Common name(s): Hand brace, Finger brace, Custom hand splint
Technical/Medical term: Hand Finger Orthosis, without joints, custom fabricated

Summary

A hand and finger orthosis (L3913) is a custom-made medical device designed to support and immobilize the hand and fingers. It is typically made from lightweight materials and may include soft interfaces and straps for comfort. The orthosis does not have any joints and is custom-fabricated to fit the patient's hand specifically. Fitting and adjustment are included as part of the procedure.

Purpose

To provide support and immobilize the hand and fingers to facilitate healing. This orthosis can help manage pain, improve function, and prevent further injury or deformity.

Indications

• Arthritis affecting the hand and fingers
• Post-operative support or recovery
• Tendonitis or tenosynovitis
• Fractures or dislocations of the hand or fingers
• Neurological conditions causing muscle weakness or paralysis

Preparation

• No special preparation such as fasting is usually required.
• Patients may undergo diagnostic tests like X-rays or MRIs to assess the condition.

Procedure Description

1. Assessment: The healthcare provider evaluates the patient’s hand and fingers to determine the specific needs.
2. Measurement and Molding: The patient's hand and fingers are measured. A mold may be taken to ensure a custom fit.
3. Fabrication: Using the measurements and mold, the orthosis is custom-fabricated from lightweight, durable materials.
4. Fitting: The orthosis is fitted to the patient’s hand. Adjustments are made for optimal comfort and functionality.
5. Instruction: The patient is instructed on how to wear the orthosis and how to use any straps or adjustments.

Duration

The entire process, from assessment to final fitting, may take several days to a couple of weeks. Each fitting session usually lasts around 30 to 60 minutes.

Setting

Typically performed in an outpatient clinic or orthopedic/prosthetic center.

Personnel

• Orthotist (specialist in designing and fitting orthoses)
• Occupational therapist or physical therapist
• Sometimes a physician, especially for initial assessment

Risks and Complications

• Skin irritation or pressure sores
• Discomfort if not fitted correctly
• Potential allergic reactions to materials
• Reduced circulation if straps are too tight

Benefits

• Pain relief
• Improved hand function
• Prevention of further injury or deformity
• Enhanced healing and recovery

Benefits are usually realized within days to weeks of consistent use.

Recovery

• Wear the orthosis as instructed by the healthcare provider.
• Regular follow-up appointments to monitor progress and make adjustments.
• Recovery time varies based on the underlying condition but may range from weeks to months.

Alternatives

• Over-the-counter braces or splints
• Physical therapy
• Medications for pain and inflammation
• Surgery in severe cases

Pros: Custom-fabricated orthosis offers a precise fit and tailored support.
Cons: Over-the-counter options might be less expensive but less effective.

Patient Experience

Patients may feel some initial discomfort as they get used to wearing the orthosis. Pain management strategies will be provided, including guidelines on how to ease into daily wear to ensure comfort. Most patients find that the device significantly helps with their condition and hand functionality.