CPT® Code 27244

Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage

The CPT® Code 27244 refers to the treatment of specific types of femoral fractures, namely intertrochanteric, peritrochanteric, or subtrochanteric fractures. These fractures occur in distinct anatomical locations of the femur, which is the thigh bone. Intertrochanteric fractures are classified as extracapsular fractures that take place between the greater and lesser trochanters, which are bony prominences on the femur. Peritrochanteric fractures encircle or occur around these trochanters, while subtrochanteric fractures are located just below them. The treatment involves the use of a plate and screw type implant, which may be supplemented with cerclage, a technique that involves wrapping wire around the fracture fragments to enhance stability. Prior to the surgical intervention, separate radiographs are obtained to confirm the presence and specifics of the fracture. A thorough neurovascular examination is conducted to ensure that the nerves and blood vessels surrounding the injury are intact, which is crucial for the patient's recovery. The procedure may begin with closed reduction, utilizing longitudinal traction, and is verified through radiographic imaging. If closed reduction fails to achieve proper alignment, an open reduction is performed, which involves making an incision to access the fracture site directly. This surgical approach allows for the placement of a metal plate along the lateral aspect of the femur, which is secured with screws to stabilize the fracture. Additionally, a large screw may be inserted through the bone across the fracture site and into the femoral head, further securing the fracture. The use of cerclage wire may also be employed to provide additional support to the fracture fragments during the healing process.