CPT® Code 23802

Arthrodesis of the shoulder, specifically the glenohumeral joint, is a surgical procedure aimed at fusing the joint to alleviate pain and restore function. This procedure is particularly relevant for patients suffering from severe joint instability, arthritis, or other degenerative conditions that compromise the integrity of the shoulder joint. The surgery involves the use of an autogenous graft, which is a piece of bone taken from the patient's own body, to facilitate the fusion process. The procedure is performed through a deltopectoral approach, which allows the surgeon to access the shoulder joint effectively. During the operation, various anatomical structures, including the deltopectoral interval and the cephalic vein, are identified and managed to ensure optimal exposure of the joint. The surgical technique requires careful manipulation of the shoulder's tendons and ligaments, including the retraction of the conjoint tendon and incision of the subscapularis tendon, to gain access to the joint capsule. The dislocation of the shoulder is performed to enable the removal of cortical bone from the joint surfaces, which is a critical step in preparing the joint for fusion. The harvested autogenous bone graft is then meticulously prepared and placed into the joint space to promote healing and stability. The procedure culminates in the application of fixation devices to secure the joint in its new position, followed by immobilization to support recovery.