CPT® Code 27286

Arthrodesis of the hip joint, also known as hip fusion, is a surgical procedure that involves the fusion of the femoral head and the acetabulum, effectively eliminating the joint space. This procedure is typically indicated for specific patient populations, such as young individuals engaged in heavy labor or those who have experienced a failed hip replacement. The surgery is performed through a lateral incision over the hip joint, allowing access to the femoral head, which is dislocated from the acetabulum. The articular surfaces of both the femoral head and acetabulum are meticulously debrided until healthy, bleeding cancellous bone is exposed, which is crucial for the fusion process. In addition to the arthrodesis, a subtrochanteric osteotomy is performed, which involves making precise cuts in the femur just below the lesser trochanter. This step is essential for correcting any deformities and ensuring proper alignment of the hip joint during the healing process. Cancellous bone is harvested from the iliac crest, prepared, and packed into the joint space to facilitate the fusion. After the femoral head is repositioned into the acetabulum, a plate and screw device is applied to stabilize the hip joint, allowing the bones to heal together over time. The procedure is complex and requires careful planning and execution to achieve optimal outcomes for the patient.