CPT® Code 28288

The procedure described by CPT® Code 28288 involves an ostectomy, specifically a partial exostectomy or condylectomy of the metatarsal head. This surgical intervention is performed on the metatarsal head, which is the rounded end of the metatarsal bone that articulates with the proximal phalanx of the toe. The procedure typically begins with an incision made over the metatarsophalangeal joint, which is the joint connecting the metatarsal bone to the toe. Following the incision, the surgeon dissects the soft tissues to expose the joint capsule, ensuring that the underlying structures are accessible for the procedure. During the surgery, tendons and neurovascular structures are carefully retracted and protected to prevent any damage. The soft tissue attachments at the metatarsal head are mobilized to allow for better access to the bone. Once the metatarsal head is fully exposed, any bony exostoses, which are abnormal bony growths, are excised. In cases where a condylectomy is indicated, a sagittal saw is utilized to remove the bony prominences effectively. After the excision, the bone surface is smoothed using a rasp to ensure proper healing and function. Finally, the incision is closed in layers to promote optimal recovery and minimize complications. This procedure is typically indicated for conditions that cause pain or dysfunction in the metatarsophalangeal joint, often due to bony growths or deformities.