CPT® Code 25448

Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed

Arthroplasty of the intercarpal or carpometacarpal joints is a surgical procedure aimed at alleviating pain and restoring function in patients suffering from conditions such as arthritis. This specific type of arthroplasty involves the suspension of the joint, which may include the transfer or transplant of tendon tissue, along with interposition techniques. The procedure is particularly relevant for joints in the wrist and hand, where degenerative changes can lead to significant discomfort and impaired mobility. In cases of thumb arthritis, for instance, the surgery typically involves the removal of the trapezium bone, which is a common site of pain. The surgical approach requires careful dissection to access the joint while protecting vital structures such as the radial nerve and artery. The overall goal of this procedure is to relieve pain, improve joint stability, and enhance the patient's ability to perform daily activities by restoring the normal biomechanics of the affected joint.