27372 Removal of foreign body, deep, thigh region or knee area

Name of the Procedure:

Removal of Foreign Body, Deep, Thigh Region or Knee Area
Commonly referred to as: Deep foreign body removal, Knee foreign body extraction, Thigh foreign object removal

Summary

This procedure involves the surgical extraction of a foreign object that has penetrated deep into the tissues of the thigh or knee area. It is performed to prevent infection, pain, or further complications caused by the embedded object.

Purpose

The purpose of this procedure is to safely remove a foreign object lodged deeply within the soft tissues of the thigh or knee. The primary goals are to alleviate pain, prevent infection, and restore normal function and mobility of the affected area.

Indications

• Presence of a foreign object (e.g., glass, metal, wood) deep in the thigh or knee
• Symptoms such as pain, swelling, bleeding, or infection at the site of penetration
• Impaired movement or function due to the embedded object
• Diagnostic imaging showing the exact location and depth of the foreign body

Preparation

• Pre-procedure fasting typically required if general anesthesia will be used
• Patients may need to stop certain medications such as blood thinners
• Diagnostic imaging (X-ray, ultrasound, or MRI) to locate the foreign body
• Blood tests and medical history review

Procedure Description

1. The patient is positioned and the affected area is sterilized.
2. Local anesthesia, regional anesthesia, or general anesthesia is administered, depending on the depth and location of the foreign body.
3. An incision is made over the site to access the foreign object.
4. Surgical tools such as forceps are used to carefully extract the foreign body.
5. The area is thoroughly irrigated to cleanse the wound.
6. The incision is closed with sutures or surgical staples.
7. A sterile dressing is applied to the site.

Duration

The procedure typically takes 30 minutes to an hour, depending on the complexity and depth of the foreign body.

Setting

This procedure is usually performed in a hospital operating room or a surgical center under sterile conditions.

Personnel

• A surgeon or orthopedic specialist
• Anesthesiologist or nurse anesthetist (if general or regional anesthesia is used)
• Operating room nurses and surgical technologists

Risks and Complications

• Infection at the site of incision
• Bleeding or hematoma
• Nerve or muscle damage
• Scarring or poor wound healing
• Anesthesia-related risks

Benefits

• Relief from pain and discomfort
• Prevention of infection and further complications
• Restoration of normal function and mobility
• Immediate improvement in symptoms following removal

Recovery

• Patients are usually monitored for a short period post-procedure
• Pain management with prescribed medications
• Keeping the wound clean and dry
• Follow-up appointments for wound care and suture removal
• Restrictions on physical activity for a few weeks to allow for healing

Alternatives

• Non-surgical attempts at removal if the foreign body is superficial
• Observation and monitoring for natural expulsion (rarely effective for deep objects)
• Minimally invasive techniques using endoscopy (limited use in this anatomic area)

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Post-procedure, the patient may experience discomfort or pain at the incision site, which can be managed with medication. Most patients can resume normal activities gradually as healing progresses. Regular follow-up visits ensure successful recovery and address any complications.