CPT® Code 27217

Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)

The CPT® Code 27217 refers to the open treatment of an anterior pelvic bone fracture and/or dislocation, specifically for fracture patterns that disrupt the pelvic ring on a unilateral basis. This procedure includes internal fixation when performed, which may involve the pubic symphysis and/or the ipsilateral superior and inferior rami. Anterior pelvic ring injuries typically consist of fractures of the pubic rami and/or dislocations, known as diastasis, of the pubic symphysis. These injuries often require a detailed radiographic study of the pelvis to accurately assess the extent of the fracture and/or dislocation. The surgical approach involves making an incision over the site of the fracture or dislocation, allowing for direct access to the affected area. During the procedure, the anterior rectus muscle is identified, and any associated avulsion injuries are evaluated. If the anterior rectus muscle remains intact, it is incised to facilitate further dissection. Careful dissection is crucial to identify and protect surrounding neurovascular structures, as well as the spermatic cord and bladder in male patients. The fracture or dislocation site is then exposed, cleared of any debris, and reduced, which may involve applying pressure to both iliac crests. If manual pressure does not achieve adequate reduction, specialized tools such as pelvic reduction clamps or forceps may be utilized. Once anatomical reduction is confirmed, the bone is prepared for fixation using plates and screws, ensuring stability and proper alignment of the pelvic structure. The procedure concludes with a thorough irrigation of the wound before it is closed, ensuring optimal healing conditions.