CPT® Code 26568

The procedure described by CPT® Code 26568 refers to osteoplasty, specifically the lengthening of a metacarpal or phalanx bone. Osteoplasty is a surgical intervention aimed at reshaping or reconstructing bone structures. In this case, the focus is on lengthening the bones of the hand, which can be necessary for various clinical reasons, such as correcting congenital deformities, addressing trauma-related bone loss, or improving functional outcomes in patients with certain conditions. The procedure involves a meticulous approach where the surgeon first utilizes radiographic studies to plan the precise locations for bone cuts, ensuring optimal results. Once the surgical site is prepared, the metacarpal or phalanx is exposed, and strategic cuts are made to facilitate the distraction of the bone, effectively lengthening it. Additionally, the procedure may involve harvesting a bone autograft, typically from the iliac crest, which is the upper part of the pelvic bone. This harvested bone can be used to fill any defects created during the lengthening process, promoting healing and stability. The use of internal fixation devices, such as pins, screws, or plates, is crucial to maintain the anatomical alignment of the bone during the healing phase. In some cases, an external fixation device may also be employed to support the bone structure externally. Overall, this procedure is complex and requires careful planning and execution to achieve the desired lengthening and functional improvement of the affected bone.