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The CPT® Code 27386 refers to the surgical procedure for the suture of a quadriceps or hamstring muscle rupture, specifically indicating a secondary reconstruction that may involve the use of fascial or tendon grafts. This procedure is typically performed when there has been a previous surgical intervention for a muscle rupture that has not healed adequately or has re-ruptured. The quadriceps muscle, particularly the distal head of the rectus femoris, is commonly affected by tears and ruptures, while complete ruptures of the hamstring muscle are less frequent and usually occur near the ischium. The surgical approach for repairing these ruptures involves making incisions to access the damaged muscle or tendon, identifying the ruptured ends, and utilizing sutures to secure the muscle or tendon back together. In cases where the tissue is insufficient for repair, a graft may be necessary to restore function and stability. This procedure is critical for patients who experience significant impairment due to muscle injuries, as it aims to restore mobility and strength in the affected limb.
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