S82.022C Displaced longitudinal fracture of left patella, initial encounter for open fracture type IIIA, IIIB, or IIIC

ICD10CM code

#### Name of the Condition
- Displaced longitudinal fracture of left patella
- Open fracture type IIIA, IIIB, IIIC

#### Summary
A displaced longitudinal fracture of the left patella refers to a break in the kneecap that is not properly aligned and extends longitudinally. This can occur alongside an open fracture where the broken bone punctures the skin. The classification of type III open fractures (IIIA, IIIB, or IIIC) indicates a severe injury with extensive soft tissue damage and a high risk of complications.

#### Causes
- High-impact trauma, such as falls, vehicle accidents, or sports injuries.
- Direct blow to the knee region.

#### Risk Factors
- Engaging in high-risk physical activities or contact sports.
- Older age or underlying conditions that weaken bone integrity.
- Occupational hazards requiring physical labor.

#### Symptoms
- Severe pain and swelling in the knee area.
- Visible deformity of the knee.
- Inability to straighten or bend the knee.
- Open wound over the fracture site, sometimes with visible bone.

#### Diagnosis
- Physical examination to assess knee alignment and integrity.
- Imaging tests such as X-rays or CT scans to evaluate the fracture.
- MRI in some cases to check for soft tissue involvement.

#### Treatment Options
- **Surgery**: To realign and stabilize the fracture with screws, wires, or pins.
- **Antibiotics and cleaning procedures**: To prevent infection in open fractures.
- **Rehabilitation**: Includes physical therapy to restore mobility and strength.
- **Pain management**: Through medications and supportive care.

#### Prognosis and Follow-Up
- Prognosis varies based on fracture severity and treatment effectiveness.
- Regular follow-up is critical to monitor healing and prevent complications.
- Long-term rehabilitation may be required to regain full knee function.

#### Complications
- Infection, particularly in open fractures.
- Non-union or poor healing of the fracture.
- Post-traumatic arthritis.
- Chronic pain or reduced range of motion.

#### Lifestyle & Prevention
- Utilize protective gear in sports to prevent knee injuries.
- Maintain bone health through a balanced diet and regular exercise.
- Avoid high-risk activities that may lead to falls or traumas.

#### When to Seek Professional Help
- Sudden knee pain following a trauma.
- Inability to bear weight or move the knee.
- Noticeable deformity or open wounds on the knee.
- Signs of infection such as redness, swelling, or discharge.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://orthoinfo.aaos.org/)
- [Centers for Disease Control and Prevention: Fractures](https://www.cdc.gov/)

#### Tips for Medical Coders
- Ensure accurate ICD code assignment by verifying the specific details of the fracture (type and classification).
- Be cautious of documentation specifying the open fracture type (IIIA, IIIB, or IIIC) to avoid misclassification.

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