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Periprosthetic fracture around internal prosthetic right knee joint, initial encounter
ICD10CM code
Name of the Condition
- Periprosthetic Fracture Around Internal Prosthetic Right Knee Joint, Initial Encounter
- Also known as periprosthetic knee fracture, M97.11XA.
Summary
A periprosthetic fracture around an internal prosthetic knee joint refers to a bone break occurring around the implant inserted during knee replacement surgery. This serious condition requires prompt medical attention to avoid complications and ensure proper recovery.
Causes
- Trauma or injury to the knee area.
- Loosening or degradation of the prosthetic implant.
- Advanced osteoporosis or weakened bones.
Risk Factors
- Advanced age, typically 60 or older.
- History of osteoporosis or other bone-weakening diseases.
- Previous knee surgeries or arthroplasty.
- High-impact activities leading to trauma.
Symptoms
- Sudden, severe pain around the knee joint.
- Swelling or bruising near the knee.
- Inability to bear weight on the affected leg.
- Abnormal alignment or mobility of the knee joint.
Diagnosis
- Physical examination to assess pain and knee stability.
- Imaging tests, such as X-rays or CT scans, to confirm fracture details and location.
Treatment Options
- Surgical Intervention: Realignment and stabilization of the fracture, possibly involving replacement or adjustment of the prosthetic component.
- Physical Therapy: Rehabilitative exercises post-surgery to restore mobility and strength.
Prognosis and Follow-Up
- With appropriate surgical treatment and rehabilitation, most patients can expect a good recovery.
- Regular follow-ups are crucial to monitor healing progress and ensure proper prosthetic function.
Complications
- Non-union or malunion of the fracture.
- Infection at the site of surgery.
- Loosening or failure of the prosthetic implant.
- Decreased mobility or chronic pain.
Lifestyle & Prevention
- Engaging in weight-bearing exercises to strengthen bones.
- Adequate calcium and vitamin D intake to maintain bone health.
- Using protective gear or supports while engaging in physical activities or sports.
When to Seek Professional Help
- Immediate medical attention is necessary if there is a sudden inability to move the knee, severe pain, or visible deformity after a fall or trauma.
Additional Resources
Tips for Medical Coders
- Ensure the code reflects the location (right knee) and the initial encounter aspect.
- Avoid confusion with other knee conditions by noting the specific involvement of a prosthetic component.