Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft
CPT4 code
Name of the Procedure:
Suture of Infrapatellar Tendon; Secondary Reconstruction, Including Fascial or Tendon Graft
Summary
This procedure involves the surgical repair of the infrapatellar tendon located below the kneecap. It includes reconstruction using a graft made from fascia or tendon to reinforce and support the damaged tendon.
Purpose
The procedure aims to restore function and stability to the knee by repairing a damaged or ruptured infrapatellar tendon. The expected outcome is improved mobility, reduced pain, and enhanced knee strength.
Indications
- Infrapatellar tendon rupture or severe damage
- Chronic knee instability or weakness impacting daily activities
- Persistent pain unresponsive to conservative treatments like physical therapy or medication
Preparation
- Patients may need to fast for 8-12 hours before the procedure.
- Adjustments to medications, especially blood thinners.
- Preoperative imaging studies such as MRI or ultrasound.
- Routine blood tests and a physical examination.
Procedure Description
- Anesthesia is administered, typically general or regional.
- An incision is made over the infrapatellar tendon.
- The damaged tendon is identified and debrided.
- A graft is harvested from fascia or another tendon.
- The graft is sutured to reinforce the infrapatellar tendon.
- The surgical site is closed with sutures, and a sterile dressing is applied.
Duration
The procedure typically takes about 2-3 hours.
Setting
Performed in a hospital or a specialized surgical center.
Personnel
- Orthopedic Surgeon
- Surgical Nurses
- Anesthesiologist
- Surgical Technicians
Risks and Complications
- Infection
- Blood clots
- Nerve or vascular injury
- Graft rejection or failure
- Joint stiffness or limited range of motion
- Recurrence of tendon rupture
Benefits
- Improved knee stability and function
- Reduction or elimination of pain
- Enhanced ability to perform daily activities and physical exercise
Recovery
- Initial rest and immobilization with a brace.
- Physical therapy starting a few weeks post-surgery to regain strength and mobility.
- Full recovery may take several months; restrictions on weight-bearing and high-impact activities during this time.
- Follow-up appointments to monitor progress.
Alternatives
- Conservative treatments like physical therapy, bracing, and medication.
- Less invasive procedures such as injection therapies.
- Each alternative varies in effectiveness depending on the extent of tendon damage.
Patient Experience
Patients might experience moderate pain and swelling post-surgery, managed with prescribed pain relief medications. Gradual improvement in knee function should be expected, with long-term rehabilitation being crucial for optimal recovery.