27540 Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed

Name of the Procedure:

Open Treatment of Intercondylar Spine(s) and/or Tuberosity Fracture(s) of the Knee, includes Internal Fixation, when performed

Summary

This procedure involves surgically repairing fractures of the intercondylar spine or tuberosity, which are key components of the knee. It typically includes the use of hardware, such as screws or plates, to stabilize the bone fragments.

Purpose

The procedure aims to address fractures in the knee's intercondylar spine or tuberosity. The goal is to stabilize broken bone fragments to ensure proper healing and restore normal function to the knee.

Indications

• Severe knee pain and instability due to fracture
• Visible deformity of the knee
• Inability to bear weight
• Significant displacement of bone fragments as seen in imaging studies

Preparation

• The patient may need to fast for 6-12 hours before surgery.
• Adjustments to medications, especially blood thinners, may be necessary.
• Pre-operative imaging tests such as X-rays or MRIs to assess the extent of the fracture.
• Routine blood tests and a physical examination to ensure fitness for surgery.

Procedure Description

1. Anesthesia: The patient is given general anesthesia or regional anesthesia to block pain.
2. Incision: A surgical incision is made over the knee to expose the fractured area.
3. Reduction: The bone fragments are realigned to their normal positions.
4. Fixation: Internal fixation devices like screws, pins, or plates are used to secure the bones.
5. Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.

Duration

The procedure typically takes 1 to 2 hours.

Setting

This procedure is performed in a hospital operating room or a surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technician

Risks and Complications

• Infection
• Blood clots
• Nerve or vessel damage
• Risks associated with anesthesia
• Nonunion or malunion of the fracture
• Need for further surgery

Benefits

• Stabilization and proper healing of the fracture
• Restoration of knee function
• Pain relief
• Prevention of further damage to knee structures

Recovery

• Hospital stay of 1-2 days
• Pain management with medications
• Physical therapy to restore movement and strength
• Use of crutches or a brace as recommended
• Follow-up appointments to monitor healing
• Full recovery may take several months

Alternatives

• Non-surgical treatments like bracing and immobilization, though these are less effective for severe fractures.
• Arthroscopic surgery, which is less invasive but not suitable for all cases.

Patient Experience

• The patient will be under anesthesia during the procedure and will not feel pain.
• Post-operatively, pain and swelling should be expected but can be managed with medication.
• Physical therapy will be a key part of recovery to regain mobility and strength in the knee.