CPT® Code 27245

Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage

The CPT® Code 27245 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 long bone in the thigh. 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 an intramedullary implant, which is a type of internal fixation device that is inserted into the medullary canal of the femur. This procedure may also include the use of interlocking screws and/or cerclage to enhance the stability of the fracture site. Prior to the surgical intervention, imaging studies, such as radiographs, are performed to confirm the presence and extent of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels in the area of the injury. The initial approach to treatment may involve closed reduction, which utilizes longitudinal traction to align the fracture, and this is verified through radiographic imaging. If closed reduction fails to achieve proper alignment, an open reduction is performed, which involves a surgical incision to directly access the fracture site. The surgical technique includes careful dissection of the surrounding muscles and the placement of the intramedullary implant to stabilize the fracture, ensuring proper healing and restoration of function.