Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each
CPT4 code
Name of the Procedure:
Treatment of Tarsal Bone Fracture (Except Talus and Calcaneus); Without Manipulation, Each
Summary
This is a non-surgical procedure to treat fractures in the tarsal bones, excluding the talus and calcaneus, without physically manipulating the bones into alignment.
Purpose
The procedure addresses fractures in the tarsal bones, which are critical for foot stability and movement. The goal is to allow the bones to heal naturally without the need for surgical intervention.
Indications
- Symptoms like pain, swelling, and bruising in the foot area.
- X-ray or other imaging confirming a fracture in the tarsal bones excluding the talus and calcaneus.
- Patients whose fracture is stable and likely to heal without manipulation.
Preparation
- Inform your doctor of any medications or supplements you are taking.
- Undergo diagnostic tests such as X-rays, MRIs, or CT scans to assess the fracture.
- Follow any specific instructions from your healthcare provider regarding activity restrictions before the appointment.
Procedure Description
- Initial Assessment: The healthcare provider evaluates the fracture using imaging tests.
- Immobilization: A cast, splint, or boot is used to immobilize the foot and allow the fracture to heal naturally.
Support: Crutches or a walker may be provided to avoid putting weight on the injured foot.
No anesthesia or sedation is required for this non-invasive procedure.
Duration
The initial appointment takes about 30 minutes to an hour, but the immobilization period can last several weeks to a couple of months, depending on the fracture's severity.
Setting
This procedure is typically performed in an outpatient clinic or a hospital setting.
Personnel
- Orthopedic surgeon or bone specialist
- Medical assistant or nurse
Risks and Complications
- Prolonged healing time
- Possible displacement of the fracture before immobilization
- Risk of non-union or malunion
- Potential skin irritation or sores from the cast or splint
Benefits
- Non-invasive with no surgical risks
- Reduced recovery time compared to surgical options
- Lower risk of infection
Recovery
- Follow-up appointments for x-rays to monitor healing
- Possible adjustments to the cast or splint
- Physical therapy post-removal for strength and mobility
- Complete recovery time typically ranges from 6 to 12 weeks
Alternatives
- Surgical intervention to realign and stabilize the fracture with screws or plates
- Pros: Precise alignment and often quicker stabilization
- Cons: Higher risk of infection, longer recovery time, and potential surgical complications
Patient Experience
- Mild discomfort or inconvenience from wearing a cast or boot
- Temporary restrictions on walking or putting weight on the foot
- Regular follow-up visits for monitoring healing progress