CPT® Code 27258

Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);

The CPT® Code 27258 refers to the open treatment of spontaneous hip dislocation, which can occur due to developmental dysplasia of the hip (DDH). This condition may arise from congenital malformations of the hip joint or develop during growth, impacting the osseous structures, joint capsule, and surrounding soft tissues. The procedure involves a surgical intervention where a skin incision is made on the medial aspect of the groin to access the hip joint. During the operation, the adductor tendon is exposed and incised, allowing for the release of other soft tissue structures as necessary to facilitate the reduction of the dislocated femoral head back into the acetabulum. The goal of this procedure is to restore proper alignment and function of the hip joint. After repositioning the femoral head, the surgical incisions are closed, and a splint or hip spica cast is applied to maintain the hip in an abducted position, ensuring stability during the recovery process. This procedure may also involve additional techniques such as tenotomy, which is the surgical cutting of a tendon, to achieve optimal results in the treatment of the dislocation.