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The procedure described by CPT® Code 27756 involves the percutaneous skeletal fixation of a tibial shaft fracture, which may also include a fracture of the fibula. This type of fracture is typically confirmed through radiological studies that are reported separately. During the procedure, if the fracture fragments are found to be displaced, they are manually manipulated back into their anatomical alignment. Following this manipulation, additional radiological studies are conducted to ensure that the fracture fragments have been successfully reduced to their proper positions. The technique involves making small incisions in the skin, through which pins or screws are inserted across the fracture site. These devices are crucial for maintaining the alignment of the fracture fragments during the healing process. After the fixation is completed, a cast or splint may be applied as necessary to provide further support and stabilization to the affected area. This procedure is distinct from other methods of fracture treatment, such as open treatment with plate and screw fixation or the use of intramedullary implants, which involve different surgical techniques and approaches to stabilize the fracture.
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