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Osteotomy is a surgical procedure that involves cutting and reshaping bones to correct deformities or misalignments. In the case of CPT® Code 27712, multiple osteotomies of the tibia and/or fibula are performed, specifically utilizing an intramedullary rod for realignment. This type of procedure is often indicated for patients with significant bone deformities that may affect mobility or lead to further complications if left untreated. The term "multiple" indicates that more than one osteotomy is performed, which allows for comprehensive correction of the deformity. The specific type of osteotomy performed—such as transverse, wedge, sliding, right or left angle, V-osteotomy, or Z-osteotomy—depends on the individual patient's condition and the location of the deformity. Prior to the surgical intervention, the physician employs radiographic studies to precisely determine the locations for the bone cuts, ensuring that the procedure is tailored to achieve optimal alignment and function. The surgical approach typically involves making a longitudinal incision over the lower leg, followed by careful dissection of the soft tissues to expose the bone. This meticulous process is essential for elevating the periosteum and accessing the bone for the necessary cuts. The use of an intramedullary rod provides internal stabilization, allowing for proper healing and alignment of the bones post-surgery.
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