Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment
HCPCS code
Name of the Procedure:
Wrist Hand Finger Orthosis (WHFO)
Summary
This procedure involves fitting a prefabricated wrist, hand, and finger orthosis, which includes one or more joints that can be adjusted using turnbuckles, elastic bands, or springs. The orthosis may also include soft materials and straps for added comfort. This device helps support and align the joints, aiding in recovery or corrective positioning.
Purpose
The orthosis is used to treat or manage conditions that affect hand, wrist, or finger function. The goals include minimizing pain, maximizing hand function, and facilitating correct joint positioning to aid in recovery or daily tasks.
Indications
- Arthritis or severe joint pain
- Tendon, nerve, or joint injuries
- Post-surgical recovery
- Deformities or contractures affecting the hand, wrist, or fingers
- Conditions like Carpal Tunnel Syndrome or repetitive strain injuries
Preparation
- No special fasting or medication adjustments needed.
- An evaluation of hand and wrist function may be required.
- Sometimes, diagnostic imaging like X-rays or MRI scans may be done.
Procedure Description
- Assessment: The healthcare provider assesses the patient's hand, wrist, and finger condition.
- Selection: A prefabricated orthosis suited to the patient's needs is selected.
- Fitting: The orthosis is fitted onto the patient's hand. Adjustments are made using turnbuckles, elastic bands, or springs to ensure proper alignment and support.
- Customization: Soft interface materials and straps are added to enhance comfort and stability.
- Instruction: The patient is educated on how to wear, adjust, and care for the orthosis.
No anesthesia or sedation is required for this procedure.
Duration
The entire process typically takes about 30 minutes to an hour.
Setting
This procedure can be performed in an outpatient clinic or a specialized orthotic and prosthetic facility.
Personnel
- Orthotist
- Occupational therapist or physical therapist
- Sometimes a physician or specialist in hand therapy
Risks and Complications
- Minor skin irritation or pressure sores
- Discomfort until proper adjustments are made
- Rarely, allergic reaction to materials used
Benefits
- Immediate support and pain relief
- Improved hand function and mobility
- Prevention of further joint deformation
- Promotes proper healing post-injury or surgery
Recovery
- Follow-up appointments may be required for adjustments.
- Most patients can resume normal activities immediately but should follow care instructions.
- Regular cleaning of the orthosis and checking for wear and tear is recommended.
Alternatives
- Custom-made orthoses tailored to the patient’s specific needs
- Physical therapy exercises
- Surgical intervention in more severe cases
- Medications for pain and inflammation
Pros and cons vary:
- Custom orthoses: Higher fit and comfort but more expensive.
- Physical therapy: Promotes natural healing but may take longer to see results.
- Surgery: Permanent solution but involves higher risks and longer recovery.
Patient Experience
The patient may feel slight discomfort initially as the orthosis is adjusted. Over time, the fit and comfort improve. Pain management is usually not needed due to the non-invasive nature of the procedure. Regular check-ups ensure long-term efficacy and comfort.