CPT® Code 26545

Reconstruction of the collateral ligament of the interphalangeal (IP) joint is a surgical procedure aimed at repairing damage to the ligament that stabilizes the joint. This procedure is typically indicated following a traumatic injury, such as a laceration or rupture, which can compromise the joint's stability and function. The collateral ligaments are essential for maintaining the integrity of the IP joint during movement, and their reconstruction is crucial for restoring normal joint mechanics. In cases where an open wound is present, the surgical approach involves exploring the wound, removing any devitalized tissue, and clearing away foreign materials to prepare the site for reconstruction. For closed injuries, a dorsal incision is made over the affected joint to access the injured ligament. The surgeon evaluates the extent of the injury to determine the appropriate course of action. If a graft is necessary, an incision is made at the site where the tendon or fascial graft will be harvested. The graft is then meticulously attached to the remaining ligament or bony structures using sutures or bone anchors, ensuring proper tension and alignment. Finally, the surgical site is closed in layers to promote optimal healing and recovery.