Name of the Condition

• Nondisplaced bicondylar fracture of left tibia, initial encounter for open fracture type I or II
• Medical term: S82.145B

Summary

• This condition refers to a fracture where both condyles of the left tibia are broken but remain in their normal position. It involves an open fracture type I or II, indicating the wound is open but the skin damage is minimal to moderate.

Causes

• Typically caused by high-impact trauma such as falls, sports injuries, or vehicle accidents.

Risk Factors

• Factors include engaging in high-risk activities (e.g., contact sports), osteoporosis, or previous fractures.

Symptoms

• Swelling, pain, and bruising in the knee area. Difficulty in bearing weight or visible deformity may also be present.

Diagnosis

• Diagnosed through physical examination and confirmed with imaging tests such as X-rays or CT scans.

Treatment Options

• Initial treatment often includes immobilization with a brace or cast and possibly surgery to clean the wound if contaminated. Surgical stabilization may be necessary depending on the fracture's severity.
• Pain management and physical therapy are important for recovery.

Prognosis and Follow-Up

• Prognosis is generally good with proper treatment, but recovery can be slow. Follow-up appointments are crucial to monitor healing and prevent complications.

Complications

• Potential issues include infection (due to the open nature of the fracture), improper healing, or arthritis in the knee joint if left untreated.

Lifestyle & Prevention

• Maintain good bone health through adequate nutrition and regular exercise to strengthen bones. Use protective gear during high-risk activities.

When to Seek Professional Help

• Immediate medical attention is required if there is severe pain, deformity, inability to bear weight, or if there are signs of infection such as increased redness or pus in the wound.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): www.aaos.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): www.niams.nih.gov

Tips for Medical Coders

• Ensure accuracy by confirming the side (left tibia) and nature of the fracture (nondisplaced, open type I or II).
• Verify documentation to ensure correct classification of open fracture type.