CPT® Code 25606

Percutaneous skeletal fixation is a minimally invasive surgical procedure utilized to treat fractures of the distal radius, which is the lower part of the outer bone of the forearm located near the wrist. This procedure is also applicable in cases of epiphyseal separation, a condition affecting the growth plate at the end of a long bone. The epiphysis is crucial for bone growth and development, and its separation can lead to complications if not properly addressed. Prior to the fixation, the fractured bone or separated epiphysis must be realigned, a process known as reduction. This may involve the application of traction and manipulation techniques to ensure that the bone fragments are positioned correctly. Once the fracture is aligned, the physician employs Kirschner wires, commonly referred to as K-wires or pins, to stabilize the fracture. These K-wires are thin, rigid, and sharp stainless steel pins that are inserted into the bone through the skin using a specialized drill, which is characteristic of percutaneous techniques. The placement of K-wires involves driving them through the radius across the fracture site and into the opposite bone, effectively holding the fractured pieces together. After insertion, the K-wires are typically cut just below the skin surface, and the arm is then immobilized to facilitate healing. Depending on the specific case, the K-wires may be removed after a few weeks or may remain in place for definitive fixation, particularly in instances involving small fracture fragments. This procedure is essential for ensuring proper healing and restoring function to the wrist and forearm.