Name of the Procedure:

Hand Orthosis, Metacarpal Fracture Orthosis, Prefabricated, Off-the-Shelf

Summary

A hand orthosis designed to support and immobilize a fractured metacarpal bone in the hand. This device is pre-made and can be fitted to the patient without customization.

Purpose

This orthosis is used to stabilize and support a fractured metacarpal bone, ensuring proper alignment and healing. It helps to reduce pain, prevent further injury, and promote faster recovery.

Indications

• Fractures of the metacarpal bones (the bones of the hand between the wrist and fingers)
• Post-operative support following surgical repair of metacarpal fractures
• Support in cases of severe sprains or strains in the hand

Preparation

• No specific fasting or medication adjustments are needed.
• A medical assessment, typically including an X-ray, is required to confirm the fracture and determine the suitability of the orthosis.

Procedure Description

1. The patient places their hand into the prefabricated orthosis.
2. The orthosis is adjusted to fit snugly around the hand and wrist.
3. Straps are secured to ensure the orthosis stays in place.
4. The fit is checked to ensure it provides adequate immobilization without causing discomfort.

Duration

The fitting process usually takes about 15-20 minutes.

Setting

This procedure is typically performed in a doctor’s office, outpatient clinic, or orthotic and prosthetic facility.

Personnel

A healthcare provider such as a physician, orthopedic technician, or trained nurse.

Risks and Complications

• Skin irritation or pressure sores from improper fit
• Limited mobility and stiffness in the hand and fingers
• Rarely, issues with blood circulation if the orthosis is too tight
• Allergic reactions to materials used in the orthosis

Benefits

• Stabilizes the fracture, promoting proper healing
• Can reduce pain and prevent further injury
• Non-invasive and easy to apply
• Immediate support with no waiting for a custom-made device

Recovery

• Wear the orthosis as directed by your healthcare provider, typically several weeks.
• Perform any prescribed hand exercises to maintain mobility.
• Follow up with your healthcare provider to monitor healing progress.
• Avoid activities that could strain the hand until fully healed.

Alternatives

• Custom-made orthoses tailored to the patient's specific measurements.
• Casts or splints for more severe fractures.
• Surgical intervention in cases where the fracture is complex or displaced.

Pros of Hand Orthosis:

• Immediate availability and easy to fit.
• Less expensive than custom-made devices.
• Provides adequate support for simple fractures.

Cons of Hand Orthosis:

• May not fit as precisely as a custom-made orthosis.
• Less suitable for complex fractures requiring specific positioning.

Patient Experience

• The fitting process is quick and generally pain-free.
• Some initial discomfort may occur as the hand adjusts to the orthosis.
• Pain management can include over-the-counter pain relievers if needed.
• Initial restriction of hand movements which gradually eases as healing progresses.