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The procedure described by CPT® Code 27715 involves osteoplasty of the tibia and fibula, which refers to a surgical intervention aimed at either lengthening or shortening these long bones in the lower leg. Osteoplasty is a type of plastic surgery that modifies the structure of bones to achieve specific functional or aesthetic outcomes. In this procedure, the physician utilizes imaging studies to precisely determine the locations for bone cuts before initiating the surgery. This preoperative planning is crucial for ensuring that the desired lengthening or shortening of the bones is achieved effectively. During the operation, the tibia and fibula are surgically exposed, allowing the surgeon to access the bone directly. For shortening, the surgeon identifies the appropriate sites for cutting, excises segments of the bone, and then brings the remaining ends together, stabilizing them with internal fixation methods. Conversely, for lengthening, the bones are cut and gradually distracted, and a bone graft may be harvested from the iliac crest to fill any defects created during the procedure. This complex surgical intervention requires careful execution and is typically performed in a controlled clinical environment to ensure patient safety and optimal outcomes.
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