/ Moreover, primary arthrodesis with blade plate fixation precludes ankle arthroplasty in a select group of patients with well-aligned pilon fractures that progress to posttraumatic arthritis. Monotype Typography CPT® Code Description Internal Fixation (cont.) Outcomes reported by the Foot and Ankle Outcome Score (FAOS). Both the SF-36 and FAOS are well-validated surveys to determine health-related quality of life. All patients were ambulatory at the most recent follow-up visit. Fixation consisted of a posterior blade plate, which was chosen over other hardware for multiple reasons. Please read and accept the terms and conditions and check the box to generate a sharing link. 2019-01-09T10:53:58.000-06:00 %PDF-1.7
Open fractures are especially serious as the broken skin can lead to infection in both the wound and the bone. In this case, you report code 27826 (Open treatment of fracture of weight bearing articular surface/portion of distal tibia [eg, pilon or tibial plafond], with internal fixation, when performed; of fibula only) for the open repair of the fibular fracture and placement of the external fixator for the tibia. A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. While primary fusion patients reported worse ankle symptoms, no significant difference in pain, quality of life, sports and recreation, or activities of daily living was observed. Of the remaining 3 ORIF patients, 2 did not have a fibula fracture. The average age of patients was 47 years, and 54 (56%) of the patients were men. Union rates were compared with a Fisher exact test, with a significance level of P < .05.
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