CPT® Code 27647

Radical resection of a tumor in the talus or calcaneus is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide better access. Once the overlying tissue is carefully dissected, the tumor is exposed for removal. The surgical technique requires the excision of all bone and cartilage that is involved with the tumor, ensuring that the tumor is removed en bloc, which means it is taken out in one piece along with a wide margin of surrounding healthy tissue. This radical approach also necessitates the excision of all affected soft tissues, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. To confirm that all cancerous cells have been removed, a frozen section analysis is performed during the procedure. If any margins are found to contain malignancy, additional tissue is excised until clear margins are achieved. Post-surgery, drains may be placed as needed to manage fluid accumulation, and the surgical wound is typically closed in layers. In some cases, separate reconstructive procedures may be performed to restore the area after the radical resection.