28545 Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Name of the Procedure:

Closed Treatment of Tarsal Bone Dislocation, Other than Talotarsal; Requiring Anesthesia

Summary

This procedure is a non-surgical method to realign dislocated tarsal bones (small bones in the foot, excluding the talotarsal joint), performed under anesthesia to ensure the patient remains pain-free.

Purpose

The procedure addresses tarsal bone dislocations, aiming to restore normal alignment and function of the foot. It helps alleviate pain, prevent further injury, and ensure proper healing.

Indications

• Acute tarsal bone dislocation (excluding the talotarsal joint)
• Inability to bear weight on the affected foot
• Visible deformity of the foot
• Significant swelling and bruising
• Patients for whom surgery is not the first line of treatment

Preparation

• The patient may be asked to fast for a specific period before the procedure.
• Adjustments to regular medications as advised by the healthcare provider.
• Pre-procedure imaging (X-rays, MRI) to assess the extent of the dislocation.
• Pre-anesthesia evaluation.

Procedure Description

1. The patient is positioned comfortably, and anesthesia is administered, typically general or regional.
2. The healthcare provider will manually manipulate the dislocated tarsal bone back into its normal position.
3. Realignment is confirmed using imaging techniques such as X-ray.
4. A cast, splint, or supportive wrap is applied to immobilize the foot and maintain proper alignment during healing.

Duration

The procedure typically takes about 30 minutes to an hour, depending on the complexity of the dislocation.

Setting

The procedure is generally performed in a hospital or surgical center.

Personnel

• Orthopedic surgeon or specialized physician
• Anesthesiologist or nurse anesthetist
• Nursing staff

Risks and Complications

• Infection
• Nerve or blood vessel damage
• Improper realignment
• Need for surgical intervention if closed treatment is unsuccessful
• Swelling, bruising, and temporary pain

Benefits

• Pain relief
• Improved foot function and mobility
• Reduced risk of further injury
• Faster recovery compared to surgical options

Recovery

• Initial rest and immobilization of the foot.
• Gradual weight-bearing as advised by the healthcare provider.
• Follow-up imaging to ensure proper healing.
• Physical therapy to restore strength and mobility.
• Recovery time varies, typically a few weeks to several months.

Alternatives

• Open surgical treatment to realign the bones. Pros: More precise alignment, especially in complex cases. Cons: Longer recovery time, higher risk of complications.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Post-procedure, the patient may experience discomfort, which can be managed with analgesics. Swelling and bruising are common, and the patient should follow care instructions including icing, elevation, and avoiding weight-bearing activities as recommended. Regular follow-ups are essential to monitor healing progress.