Name of the Procedure:

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment

Summary

This procedure involves fitting and adjusting a prefabricated orthosis (brace) designed to support and stabilize a fractured wrist. The orthosis helps in immobilizing the wrist to facilitate proper healing.

Purpose

Medical Conditions:

• Wrist fractures
• Post-operative support
• Wrist sprains

Goals:

• Immobilize the fractured wrist to promote proper healing
• Reduce pain and discomfort
• Prevent further injury

Indications

Symptoms or Conditions:

• Acute or chronic wrist pain due to fracture
• Swelling and immobility post-injury
• Post-surgical protection

Patient Criteria:

• Verified wrist fracture through diagnostic imaging
• Patients requiring additional support post-surgery

Preparation

Pre-Procedure Instructions:

• No specific fasting or medication adjustments typically required
• Diagnostic imaging (e.g., X-ray) to confirm the fracture

Procedure Description

The healthcare provider will measure the wrist to select the appropriate size of the prefabricated orthosis. The orthosis will then be adjusted for a snug fit to ensure effective immobilization. The provider will verify that the brace does not restrict circulation and provides the needed support.

Tools and Equipment:

• Prefabricated wrist orthosis
• Measuring tape for fitting
• Padding materials for comfort

Anesthesia:

• Not required

Duration

Approximately 15-30 minutes

Setting

Outpatient clinic or medical office

Personnel

• Orthopedic specialist or trained healthcare professional
• Nurse or medical assistant (if necessary)

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Discomfort due to improper fitting

Rare Risks:

• Poor circulation if the brace is too tight
• Allergic reaction to the materials

Management:

• Adjusting the fit of the orthosis
• Using padding to alleviate pressure points

Benefits

• Stabilizes the wrist to allow for proper healing
• Reduces pain and supports recovery
• Preserves mobility in other parts of the arm

Recovery

Post-Procedure Care:

• Follow the healthcare provider’s instructions regarding activity restrictions
• Regularly check for signs of skin irritation
• Schedule follow-up appointments to monitor healing

Expected Recovery Time:

• Varies depending on the severity of the fracture and individual healing rates
• Typically, a few weeks to several months

Alternatives

Other Options:

• Custom-made orthosis
• Surgical intervention for severe fractures
• Cast immobilization

Pros and Cons:

• Prefabricated orthosis is quicker to apply and more affordable than custom-made solutions
• Surgery offers a more permanent solution but comes with higher risks and longer recovery

Patient Experience

During the Procedure:

• Minimal discomfort during fitting
• Might feel slight pressure during adjustments

Post-Procedure:

• Mild soreness as the body adjusts to the brace
• Pain management through OTC drugs or prescribed medications
• Overall improved comfort and mobility with proper use of the orthosis