CPT® Code 27248

A greater trochanteric fracture refers to a break in the larger bony projection located just below the neck of the femur, which is crucial for muscle attachment in the thigh and buttocks. This type of fracture is significant due to its impact on the function of muscles such as the gluteus medius, gluteus minimus, piriformis, obturator internus, and gemelli muscles. The open treatment of this fracture involves a surgical procedure where the fracture is directly accessed and realigned, a process known as open reduction. This method is typically employed when the fracture fragments are completely displaced and require precise repositioning to restore normal anatomy and function. During the procedure, a lateral incision is made over the greater trochanter, allowing the surgeon to dissect down to the fascia lata, which is then split longitudinally to expose the fracture site. Once the fracture is visible and cleared of any debris, the fragments are carefully reduced, and internal fixation is applied as necessary to stabilize the fracture. Common techniques for internal fixation include the use of a tension band, which utilizes wires or cables to secure the fragments, or in situ screw fixation, depending on the specific characteristics of the fracture and the surgeon's preference.