Ankle Control Orthosis, Stirrup Style, Rigid, Prefabricated, Off-the-Shelf (L4350)

Name of the Procedure:

• Common Name: Ankle Brace, Stirrup Style
• Technical/Medical Term: Ankle Control Orthosis, Stirrup Style, Rigid, Prefabricated, Off-the-Shelf (HCPCS Code L4350)

Summary

This is a medical device worn on the ankle that provides rigid support to stabilize and protect the joint. It is pre-made and can be fitted off-the-shelf, without the need for custom fabrication.

Purpose

The primary purpose of using a stirrup-style ankle orthosis is to immobilize the ankle, reducing pain and promoting healing in conditions involving injury or instability. It helps maintain proper alignment and provides support during the recovery process.

Indications

• Ankle sprains or strains
• Post-surgical support
• Chronic ankle instability
• Protection during the rehabilitation phase after fractures
• Preventative support for athletes in high-risk sports

Preparation

• No special preparation is usually required.
• The healthcare provider may perform an assessment of the ankle to determine the correct size and fit.
• Diagnostic imaging (like X-rays or MRIs) may be requested to ascertain the extent of the injury.

Procedure Description

1. Assessment: The healthcare provider measures the ankle to choose the appropriate size.
2. Fitting: The pre-fabricated orthosis is then fitted around the ankle, ensuring it provides adequate support while being comfortable.
3. Securing: Straps or closures are adjusted to secure the orthosis firmly in place.
4. Adjustment: Additional adjustments might be made to ensure optimal positioning and support.

Typically, no anesthesia or sedation is needed for this procedure.

Duration

The fitting process usually takes about 15 to 30 minutes.

Setting

• Outpatient clinic
• Orthopedic office
• Sports medicine clinic

Personnel

• Orthopedic specialist or technician
• Physical therapist or healthcare provider trained in orthotic fitting

Risks and Complications

• Discomfort or pressure sores if not fitted properly
• Skin irritation
• Limited range of motion
• Temporary dependence on the orthosis

Benefits

• Immediate reduction in pain
• Enhanced stability and protection of the ankle
• Quick support for acute injuries
• Facilitates proper healing

Recovery

• Patients are typically able to walk immediately with the orthosis in place.
• Follow-up appointments may be required to adjust the fit or monitor progress.
• Recovery time can vary depending on the severity of the condition being treated, but many patients use the orthosis for several weeks.

Alternatives

• Custom-fabricated orthoses
• Elastic ankle supports
• Taping or wrapping techniques
• Physical therapy
• Surgical intervention in severe cases

Pros: Custom-fabricated orthoses offer a perfect fit; elastic supports are less bulky. Cons: Custom orthoses can be more expensive; elastic supports may not provide sufficient stabilization.

Patient Experience

• During: Sensation of tightness but typically no pain; minor adjustments may be uncomfortable.
• After: Increased stability and reduced pain; minor discomfort may occur, managed with padding adjustments and proper strap tension.
• Pain Management: Most patients do not require pain medications for this procedure, but over-the-counter pain relievers may be suggested for associated conditions.