Finger Orthosis, Without Joints (HCPCS L3933)

Name of the Procedure:

• Common Name(s): Finger Orthosis, Finger Splint
• Technical/Medical Term: Custom-fabricated finger orthosis without joints, may include soft interface, includes fitting and adjustment.

Summary

A custom-fabricated finger orthosis is a specialized medical device designed to support and stabilize a finger. It is tailored to the patient's anatomy and does not contain any joints, ensuring rigid support.

Purpose

• Medical Conditions Addressed: Injuries such as fractures, tendon repairs, joint instability, and arthritis.
• Goals: To immobilize the finger, promote proper alignment, reduce pain, and facilitate optimal healing.

Indications

• Conditions Warranting the Procedure: Bone fractures, ligament or tendon injuries, sprains, dislocations, arthritis, and post-surgical recovery.
• Patient Criteria: Individuals experiencing pain, instability, or functional impairment in a finger may benefit from this orthosis.

Preparation

• Pre-Procedure Instructions: Generally, no special preparation is required. Patients should maintain clean and dry skin on the affected finger.
• Diagnostic Tests: X-rays or other imaging tests may be needed to assess the extent of injury or condition.

Procedure Description

1. Assessment: A healthcare professional will evaluate the affected finger's condition and take precise measurements.
2. Fabrication: The orthosis is custom-made based on the measurements and mold of the patient's finger.
3. Fitting: Once fabricated, the orthosis is fitted onto the patient's finger for optimal comfort and effectiveness.
4. Adjustment: Any necessary adjustments are made to ensure a snug fit.
5. Instructions: The patient is instructed on how to wear and care for the orthosis.

Tools and Technology Used:

• Molding materials
• Measurement tools
• Padding or soft interface materials for added comfort

Anesthesia: Typically, no anesthesia or sedation is required.

Duration

The entire procedure, including assessment, fabrication, and fitting, typically takes a few days up to a week, depending on the complexity of the case.

Setting

• Usually performed in outpatient clinics, rehabilitation centers, or specialized orthotic and prosthetic facilities.

Personnel

• Certified orthotists, occupational therapists, or other trained healthcare professionals.

Risks and Complications

• Common Risks: Minor discomfort or skin irritation due to prolonged use.
• Rare Risks: Pressure sores or impaired circulation if the orthosis is improperly fitted.

Benefits

• Expected Benefits: Reduction of pain, improved finger stability, and enhanced healing of the injured area.
• Timeline: Benefits are usually observed within a few days to weeks, depending on the injury's severity and adherence to care instructions.

Recovery

• Post-Procedure Care: Patient should follow specific wearing schedules and care instructions provided by the healthcare professional.
• Recovery Time: Varies based on the injury; typically ranges from a few weeks to several months.
• Restrictions: Patients may need to avoid strenuous activities involving the injured finger. Follow-up appointments may be required to monitor progress.

Alternatives

• Treatment Options: Prefabricated splints, other types of orthoses, physical therapy, or surgical intervention.
• Pros and Cons: Custom orthosis offers a tailored fit and potentially better outcomes but can be more expensive and time-consuming to produce compared to prefabricated options.

Patient Experience

• During the Procedure: The patient might feel slight discomfort during the molding process if materials are applied directly to the skin.
• After the Procedure: The patient may experience some initial discomfort or adjustment period. Pain can be managed with OTC pain relievers, and adjustments can be made for enhanced comfort.