Name of the Condition

• Other extraarticular fracture of lower end of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
• Fracture of the lower end of the left radius with complications.

Summary

This condition refers to a complex fracture at the lower end of the left radius bone near the wrist that has not healed properly after an initial treatment. The fracture is open (the bone has broken through the skin) and presents with nonunion, meaning the fragments have not healed together, causing a persistent break in the bone continuity.

Causes

• Traumatic injuries, such as a fall onto an outstretched hand.
• High-impact accidents, such as those experienced in sports or motor vehicle collisions.

Risk Factors

• Age: Older adults are at higher risk due to decreased bone density.
• Osteoporosis: Weakens bones, making fractures more likely.
• Engaging in high-risk activities without proper protection.

Symptoms

• Persistent pain and swelling in the wrist and forearm.
• Visible deformity or abnormal mobility at the fracture site.
• Inability to properly use or bear weight on the affected wrist.
• Delayed healing and persistent tenderness at the fracture site.

Diagnosis

• Imaging Tests: X-rays and CT scans to determine the extent of the fracture and nonunion.
• Physical Examination: Evaluating pain, mobility, and any visible deformity.

Treatment Options

• Surgical Intervention: Procedures such as bone grafting or fixation with plates and screws to promote healing.
• Immobilization: Use of casts or splints to stabilize the area and encourage proper alignment during healing.
• Physical Therapy: To restore strength and function post-surgery.

Prognosis and Follow-Up

• Prognosis varies depending on patient health and adherence to treatment.
• Regular follow-ups with imaging to monitor bone healing.
• Physical therapy sessions are critical for regaining full function.

Complications

• Chronic pain and limited motion if not properly managed.
• Infection risk from an open fracture.
• Longer-term disability or arthritis in severe cases.

Lifestyle & Prevention

• Adequate calcium and vitamin D intake to support bone health.
• Avoid high-impact activities during recovery.
• Use protective gear during activities that might result in falls or impacts.

When to Seek Professional Help

• Increased pain and swelling or new deformities.
• Signs of infection such as redness, warmth, or oozing from the wound.
• Lack of improvement or worsening of symptoms.

Additional Resources

• American Academy of Orthopaedic Surgeons
• National Osteoporosis Foundation

Tips for Medical Coders

• Ensure accurate documentation of the fracture type and specific complications.
• Be mindful of differentiating between initial and subsequent encounters.
• Confirm the classification of the open fracture type (IIIA, IIIB, or IIIC) is correctly assigned.