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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.

Medical Policies and Guidelines for Periprosthetic fracture around internal prosthetic right knee joint, initial encounter

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CG-LAB-21 Serum Iron Testing

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