Conclusion: Cannulated intramedullary screw fixation can serve as a minimally invasive, safe, and satisfactory treatment for distal fibular fractures with resulting high union rates and low complication rates. Average time to union was 10 weeks (range = 8-36 weeks), whereas average time to weight bearing was 14 weeks (range = 8-40 weeks). A low complication rate of 4% was reported. Accordingly, reduction was determined to be good in 25 cases, fair in 15, and poor in 5. Results: Reduction quality criteria were collected using previously published guidelines. Finally, fibular nail is reported to be more cost-effective than ORIF and delayed-staged. Average time to union, average time to weight bearing, and complications were monitored. locking plate in non-comminuted lateral malleolar fractures6,7. The Weber classification system was used to assess the type of fracture. 25600 Closed treatment of distal radial fracture (e.g. All patients included in the cohort had a soft-tissue condition and/or comorbidity. Methods: This retrospective study included 45 patients with distal fibular fractures treated with cannulated intramedullary screw fixation. This study evaluates the use of a cannulated intramedullary screw as a minimally invasive treatment method for distal fibular fractures, which has not been reported in the current literature. A fibular fracture may also involve damage to the syndesmosis of the ankle.Background: Open reduction and internal fixation (ORIF) methods, primarily plates and screws, remain the standard of treatment for distal fibular fractures. Care is taken to minimize periosteal disruption. This involves a longer incision than MIO technique. Exposure for direct reduction is often necessary. Over time, that can lead to ankle arthritis. General considerations Principles This fracture requires anatomical reduction and interfragmentary compression. Without surgery, the ankle joint may heal without being properly aligned. Weber B fractures occur at the level of the tibiofibular ligaments, just above the talar dome, and happen primarily through a mechanism of ankle supination and external rotation (SER).ĭoes distal fibula fracture need surgery?įibula Fracture With Ankle Injury Often, surgery is needed to make the ankle joint stable. What is a Weber B distal fibula fracture? The fibula is a non-weight bearing bone that originates just below the lateral tibial plateau and extends distally to form the lateral malleolus, which is the portion of the fibula distal to the superior articular surface of the talus. 15 – other international versions of ICD-10 S92. This is the American ICD-10-CM version of S92.
#CPT ORIF DISTAL FIBULA FRACTURE CODE#
What is the ICD 10 code for avulsion fracture?Īvulsion fracture (chip fracture) of talus The 2022 edition of ICD-10-CM S92. 2012 ICD-9-CM Procedure Code 79.07 Closed Reduction Of Fracture Without Internal Fixation, Tarsals And Metatarsals 79.07 is a specific code and is valid to identify a procedure. What is the CPT code for ORIF distal fibula fracture?ĬPT® 27827 in section: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed. Closed Reduction Of Fracture Without Internal Fixation, Tibia And Fibula 79.06 is a specific code and is valid to identify a procedure. CPT 27786 in section: Closed treatment of distal fibular fracture (lateral malleolus) CPT Code Set 27786 - CPT Code in category: Closed treatment of distal fibular fracture (lateral malleolus) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. The lateral malleolus is the distal end of the fibula, whereas the medial and posterior malleoli are part of the tibia. We searched the database for cases of ankle fracture fixation, including fixation of isolated lateral malleolus (CPT 27792), bimalleolar (CPT 27814), and. Is the distal fibula the lateral malleolus? The posterior and lateral tibia form the posterior and medial malleolus, respectively. The distal end of the fibula forms the lateral malleolus which articulates with the lateral talus, creating part of the lateral ankle. They are the extension of a lateral collateral ligament injury. What is a distal fibular fracture?ĭistal fibular fractures are the most common type at the ankle and are usually the result of an inversion injury with or without rotation. PROCEDURE PERFORMED: Right distal tibia Salter-Harris II and distal fibula fracture at ankle closed treatment with manipulation. How do you code a distal fibula fracture?įracture of distal tibia, medial malleolus and distal fibula should be coded to S82. What is a Weber B distal fibula fracture? A lateral incision was made to the distal fibula down to the fracture site where disruption of the syndesmosis was noted.What is the ICD 10 code for avulsion fracture?.How do you code a distal fibula fracture?.
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