CPT® Code 27829

A distal tibiofibular joint (syndesmosis) disruption refers to an injury where the fibrous connection between the tibia and fibula is compromised. This joint, known as the syndesmosis, is stabilized by an interosseous membrane and three key ligaments: the anterior tibiofibular ligament, the interosseous ligament, and the posterior tibiofibular ligament. The open treatment of this disruption involves a surgical procedure where an incision is made over the affected area to directly access the joint. The primary goal of the procedure is to restore the normal alignment and stability of the joint, which is crucial for proper ankle function. During the surgery, if deemed necessary, internal fixation methods are employed to secure the tibia and fibula together, ensuring that the bones remain in the correct position during the healing process. This may involve the use of screws, wires, or plates, which are carefully placed to provide optimal support. The procedure concludes with the irrigation of the wound and closure of the incision, promoting a clean healing environment.