Multi Podus Boot Why?
DIRECT BENEFITS:
- Multi Podus Boots
- Preventing Heel Ulcers and Heel Pressure Sores
- Floating the Heel to Correct Lack of Blood Flow
- Reversing Heel Ulcer Damage
- Provide Comfortable, Adjustable Platform; KYDEX Pro
- Safer Stronger Ambulation improves Blood Flow
Technical Details and Video How to Put on KYDEX-PRO
- This type of boot is usually prescribed for decubitus ulcers and ankle foot contractures. The end of the heel is susceptible to ulceration if left unattended, pressing upon the bed. Blood is displaced from the area of contact; the tissue dies or ulcerates.
- For Contracture Management and Plantar Fasciits (ICD-10 M24.57) the KYDEX-PRO is safer, stronger and better…don’t miss out: great coding L4396 or L4397 / L1930 (ambulation) …don’t miss out on saving pricing
- Suggested Wearing Schedule-CLICK-HERE
- Indications, Benefits, Back Ground Information
- Therapeutic Uses, Contra-Indications, Medicare Medical Necessity
- Nursing Intervention, Monitor and Correct Usage, Application, Skin Integrity
- CLICK-HERE for coding information LCD A19885
- Multipodus boot orthosis wearing schedule: read below and consult with doctor
- Formula: Fast-LOK Ambulation Pad + Anti-Microbial Soft Good Fabric + *KYDEX-PRO = Maximum Protection for you and your patients = DON’T TAKE CHANCES strongest orthotics, Heel ulcer protection/ prevention
Indications
- Foot Drop
- Inversion
- Eversion
- Pressure Sores (Decubitus Ulcers)
- Contracture
- Hypersensitive Toes
- Lack Range of Motion: Leg straight: Bent ankle-pointing toes towards and away from patient
KYDEX-PRO Orthosis Boot Benefits
- Abductor bar to correct Inversion and Eversion
- Positive heel clearance to allow air circulation around the heel combats heel decubitus
- Toe shield for hypersensitive toes
- Depending on severity of contractures or foot drop, KYDEX necessary for field adjustment
Background Information
- Foot drop is a condition in which there is a weakness or paralysis of the anterior muscles of the lower leg, but there is the ability to bring the foot to neutral by passive range of motion (ROM). The condition is marked by an extension of the foot so that the forepart (toes) is depressed (plantar flexed) with respect to the position of the ankle. It may occur in any patient who is in bed continuously, especially if comatose.
- Ankle flexion contracture is a condition in which the muscles and/or tendons of the ankle shorten and plantar-flex the ankle downward.
Therapeutic Uses of Ankle Foot Orthosis( Professional KYDEX-PRO):
- Plantar flexion contracture of the ankle (ICD-9 Diagnosis code 728.71) with maximal dorsiflexion on passive range of motion testing of at least 10º.
- Reasonable expectation of the ability to correct the contracture.
- Contracture is interfering or expected to significantly interfere with the patient’s functional abilities.
- Used as a component of a therapy program that includes active stretching of the involved muscles and/or tendons.
Contraindications for Ankle Foot Orthosis
- Redness or irritation of the skin persists
- Excessive swelling or edema detected
- Patient complains of pain or discomfort
Medicare Medical Necessity
- Ankle Foot Orthosis is not Medically Necessary according to Medicare when used for prevention or treatment of a heel pressure sore;
- An ankle foot orthosis is not medically necessary if the contracture is fixed.
Nursing Intervention:
- If Ankle Foot Orthosis is used for the treatment of a plantar flexion contracture of the ankle, the pre-treatment passive range of motion must be measured with a goniometer and documented in the medical record.
- There must be documentation of an appropriate stretching program carried out by professional staff (in a nursing facility) or caregiver (home).
- Ankle Foot Orthosis must be ordered by the patient’s attending physician or a consulting physician for the condition resulting in the need for the splint.
- Correct contracture of the lower extremity before pressure necrosis develops. Be aware that the added pressure of the contracted limb increases the potential for tissue damage.
- Any corrective adaptive device must be removed as directed by physician and the skin should be assessed for redness and irritation.
Monitor Ankle Foot Orthosis for correct usage and discontinue if:
- Redness or irritation of the skin persists
- Excessive swelling or edema detected
- Patient complains of pain or discomfort
Application
- Assess the patient; determine the foot to fit and need for additional rigidity
- Remove Orthosis from package, label with patient’s name using indelible marker
- Follow fitting instructions
- Check for correct placement of heel
- Check for excessive pressure at all points
- Leave in place two (2) hours on and two (2) hours off initially as tolerated or as instructed by physician or therapy orders
- Increase wearing time by ½ to one (1) hour according to patient’s tolerance until orthosis is being used four (4) hours on and ½ hour off or as prescribed by physician or therapy orders
Check skin integrity carefully each time orthosis is removed
- If redness is present and persists for 15 minutes, wait until it subsides and replace orthosis.
- Wait one hour, remove and assess again.
Passively stretch extremity before each application of orthosis
- Document progress in medical record.
If Ankle Foot Orthosis is being used for internal/external rotation of the foot, leg and hip:
- Follow steps noted above
- Position anti-rotation control bar as indicated for lateral stabilization when patient is in supine position (lift flap on back of boot, loosen nut, turn 90 degree in or out, retighten nut)
- Remove Orthosis every 4 hours for ½ hour and reapply, as directed by physician or therapy order.
- Passively stretch extremity each time before application of Orthosis.
- Document progress in chart.