CPT® Code 25370

Multiple osteotomies of the radius and/or ulna are surgical procedures aimed at correcting deformities or realigning the bones in the forearm. The term "osteotomy" refers to the surgical cutting of bone, which is performed to address various conditions that may affect the normal alignment and function of the radius and ulna. The specific type and location of the osteotomies are determined based on the nature and site of the deformity being treated. Common techniques for osteotomies include transverse, wedge, sliding, right or left angle, V-osteotomy, and Z-osteotomy, each chosen for its suitability to the particular deformity. Prior to the surgical intervention, the physician utilizes radiographic studies to accurately identify the optimal locations for the bone cuts, ensuring that the procedure is tailored to achieve the desired anatomical correction. The surgery involves making a longitudinal incision over the forearm, followed by careful dissection of the soft tissues to expose the radius. The periosteum, a layer of connective tissue surrounding the bone, is elevated to allow access for the osteotomy. The bone is then cut using specialized instruments such as drills, saws, or osteotomes, following the pre-determined configuration. After the osteotomies are performed, an appropriately sized intramedullary rod is selected and inserted to stabilize the bones, ensuring proper alignment during the healing process.