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The procedure described by CPT® Code 27466 refers to osteoplasty of the femur, specifically focusing on lengthening the bone. Osteoplasty is a surgical intervention aimed at modifying the structure of bone, and in this case, it involves the femur, which is the long bone in the thigh. The primary goal of this procedure is to increase the length of the femur, which may be necessary for various clinical reasons, such as correcting limb length discrepancies or addressing certain orthopedic conditions. Prior to the surgical intervention, the physician utilizes radiographic studies to meticulously plan the procedure, determining the precise locations for bone cuts to achieve the desired lengthening effect. During the operation, the femur is surgically exposed, allowing the surgeon to access the bone directly. The procedure involves making specific cuts in the femur, followed by a process known as distraction, where the bone segments are gradually separated to promote lengthening. To facilitate this process, a bone autograft is often harvested from the iliac crest, which is the upper part of the pelvic bone. This harvested bone can be used to fill any defects created during the lengthening process. The surgical technique may involve the application of internal fixation devices, such as pins, screws, or plates, to ensure that the bone segments remain properly aligned during the healing process. Alternatively, an external fixation device may be utilized to stabilize the bone externally. Overall, CPT® Code 27466 encompasses a complex surgical procedure that requires careful planning and execution to achieve successful outcomes in femoral lengthening.
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