CPT® Code 27269

The CPT® Code 27269 refers to the open treatment of a proximal end femoral head fracture, which is a specific type of fracture occurring at the uppermost part of the femur, near the hip joint. This procedure is typically indicated for younger patients who sustain such fractures due to traumatic events, such as falls or accidents. The open treatment approach involves making a surgical incision over the anterolateral aspect of the hip joint, allowing the surgeon to access the fracture site directly. During the procedure, the joint capsule is incised, and the hip is dislocated anteriorly to provide a clear view of the fracture. Once the fracture is identified, it is carefully debrided to remove any debris or damaged tissue. The surgeon then reduces the fracture, aligning the bone fragments back into their normal anatomical position. This reduction is confirmed through visual inspection and radiographic imaging to ensure proper alignment. If the fracture requires stabilization, internal fixation devices such as screws or pins are inserted below the articular cartilaginous surface of the femoral head. These devices help to compress the fracture and maintain the alignment, with the final position being verified again through visual and radiographic means to ensure optimal healing conditions.