CPT® Code 28291

Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant

Hallux rigidus is a medical condition that affects the first metatarsophalangeal (MTP) joint, which is the joint at the base of the big toe. This condition is characterized by several symptoms, including pain, swelling, stiffness, and a decreased range of motion, particularly in the dorsiflexion of the great toe. The underlying causes of hallux rigidus often include degenerative changes, inflammation, and arthritis, which can lead to cartilage erosion, narrowing of the joint space, and the formation of bone spurs around the MTP joint. The surgical procedure described by CPT® Code 28291 involves a comprehensive approach to correcting hallux rigidus through a cheilectomy, which is the surgical removal of bone spurs, along with debridement and capsular release of the joint. This procedure is performed with the insertion of an implant, which may be made of prosthetic materials such as ceramic or titanium, or biologic materials like tendon or capsule tissue. The goal of the surgery is to alleviate pain, restore joint alignment, maintain range of motion, and enhance the strength and length of the digit, ultimately improving the patient's functional ability and quality of life.