Name of the Procedure:

Replace Proximal and Distal Upright for Knee-Ankle-Foot Orthosis (KAFO)

Summary

In this procedure, the proximal and distal upright components of a Knee-Ankle-Foot Orthosis (KAFO) are replaced. A KAFO is a type of bracing system designed to stabilize and support the knee, ankle, and foot, often used in individuals with significant mobility impairments.

Purpose

This procedure addresses the need for continuous mechanical support to the lower limb for individuals with impairments that affect their knee, ankle, and foot, such as muscular dystrophy, polio, or post-surgery support. The goal is to restore or enhance mobility and provide stability, thus improving the patient's quality of life.

Indications

• Weakness or paralysis in the knee, ankle, or foot.
• Conditions such as muscular dystrophy, poliomyelitis, or multiple sclerosis.
• Post-operative support for knee surgeries.
• Progressive diseases impacting lower limb function.

Preparation

• No specific fasting or medication adjustments are usually required.
• A thorough physical assessment to evaluate limb stability and alignment.
• Pre-fitting consultations to ensure precise measurements and customization.

Procedure Description

• The patient is fitted with the current KAFO, and measurements of the proximal and distal uprights are taken.
• The orthotist will remove the old uprights and replace them with new, precisely measured components.
• Adjustments will be made to ensure proper alignment and comfort.
• The orthotist may use tools like alignment devices and measurement gauges.
• This procedure is typically performed without the need for anesthesia.

Duration

Typically, this procedure takes approximately 1 to 2 hours, depending on the complexity of adjustments required.

Setting

Often performed in an outpatient orthotic clinic or a specialized orthopedics center.

Personnel

• Certified Orthotist
• Orthotic Technician
• (Optional) Physical Therapist for gait training post-procedure

Risks and Complications

• Minor risks include skin irritation or pressure sores if the KAFO is not properly fitted.
• Rare complications could involve improper alignment, leading to discomfort or functional impairment.

Benefits

• Immediate improvement in stability and mobility.
• Enhanced comfort and support for the lower limb.
• Reduction in pain and prevention of deformities caused by improper limb positioning.

Recovery

• Patients may experience minor discomfort initially as they adjust to the new components.
• Follow-up appointments to ensure proper fit and function.
• Instructions on how to wear and care for the KAFO will be provided.
• Physical therapy may be recommended to optimize mobility.

Alternatives

• Use of alternative orthotic devices like Ankle-Foot Orthosis (AFO) for less severe cases.
• Surgical interventions in cases where bracing alone is insufficient.
• Physical therapy aimed at strengthening and improving limb function without bracing.

Patient Experience

• Patients may feel slight pressure or discomfort initially as they adapt to the new uprights.
• Pain is generally minimal and can be managed with over-the-counter pain relief if necessary.
• Enhanced mobility and stability are typically noted soon after the procedure, improving the overall quality of life.