Other Mechanical Complication of Internal Right Knee Prosthesis, Subsequent Encounter (ICD T84.092D)

Name of the Condition

• Common names: Mechanical failure of right knee replacement, Prosthetic complications.
• Technical term: Other mechanical complication of internal right knee prosthesis, subsequent encounter.

Summary

This condition refers to ongoing issues with a right knee prosthesis that occur after the initial treatment and examination. The problems may include things like component loosening, dislocation, or wear over time that continue to affect the patient during subsequent encounters with healthcare providers.

Causes

Mechanical complications in knee prostheses can be caused by several factors, including:

• Wear and tear on the prosthesis over time.
• Improper alignment or positioning during the initial surgery.
• Loosening of the prosthetic components.
• Fracture or breakage of the prosthesis itself.

Risk Factors

• Previous knee replacement surgery.
• High-impact or repetitive stress activities.
• Obesity, leading to increased stress on the prosthesis.
• Older age, contributing to wear and physiological changes.

Symptoms

• Pain around the knee area.
• Swelling or inflammation.
• Instability or difficulty in knee movement.
• Physical sensations or noises from the knee (e.g., clicking).

Diagnosis

• Physical examination assessing knee function and stability.
• Imaging tests such as X-rays or MRI to view the prosthetic components.
• Evaluation of patient history with prior knee procedures.

Treatment Options

• Non-surgical: Pain management, physical therapy, lifestyle modifications.
• Surgical: Revision surgery to replace or repair the faulty components of the prosthesis.

Prognosis and Follow-Up

The prognosis depends on the type and severity of the mechanical complication and the effectiveness of the treatment. Regular follow-up is crucial to monitor the condition and ensure proper healing and prosthetic function.

Complications

• Progressed joint damage or erosion.
• Additional surgery risks, such as infection or thrombosis.
• Increased risk of falls or reduced mobility.

Lifestyle & Prevention

• Maintaining a healthy weight to reduce joint stress.
• Engaging in low-impact exercise to improve joint strength.
• Avoiding activities that put excessive stress on knee joints.

When to Seek Professional Help

• Persistent or worsening pain in the knee area.
• Noticeable changes in knee function or alignment.
• Signs of infection, such as fever, redness, or increased warmth around the knee.

Additional Resources

• American Academy of Orthopaedic Surgeons: AAOS
• National Institute of Arthritis and Musculoskeletal and Skin Diseases: NIAMS

Tips for Medical Coders

• Ensure the correct laterality (right knee) is indicated.
• Verify the encounter type (subsequent encounter) and note it in the coding.
• Check for other simultaneous mechanical issues to ensure comprehensive coding.