CPT® Code 27514

The CPT® Code 27514 refers to the open treatment of a femoral fracture located at the distal end, specifically involving the medial or lateral condyle of the femur. The condyles are the rounded ends of the femur that articulate with the tibia, playing a crucial role in knee joint function. This procedure is performed when there is a fracture in these areas, which may involve large or small fragments of bone. In cases where large fragments are present, a midline incision is typically made over the knee, allowing for a parapatellar release and dislocation of the patella to gain direct access to the fracture site. For smaller fragments, a more localized approach is taken with either a medial or lateral incision over the affected condyle. The surgical process involves exposing the fracture, clearing it of any debris, and reducing the fragments to their proper alignment. Internal fixation is then applied as necessary to stabilize the fracture. This may involve the use of temporary fixation methods, such as wires, to maintain anatomic alignment, which is confirmed through X-ray imaging. Following this, permanent fixation is achieved using screws or plates, and any temporary fixation devices are removed. The procedure concludes with the reapproximation of soft tissue and closure of the wound, ensuring that the integrity of the knee joint is restored.