CPT® Code 28445

The procedure described by CPT® Code 28445 refers to the open treatment of a fracture of the talus, which is a critical bone in the foot. The talus plays a vital role in the ankle joint by connecting the leg bones, the tibia and fibula, to the foot, and it also articulates with the calcaneus at the subtalar joint. Fractures of the talus are often the result of high-impact trauma, such as falls or motor vehicle accidents, making them significant injuries that require careful surgical intervention. During the open treatment procedure, the surgeon exposes the fracture site to allow for direct visualization and manipulation of the bone fragments. This exposure enables the inspection of the ankle and subtalar joints, ensuring that any associated injuries can be addressed. The surgeon meticulously clears the fracture site of any debris and aligns the talar fragments, which may involve the application of traction using a talar pin. In cases of severely comminuted fractures, where the bone is shattered into multiple pieces, a second incision may be necessary to achieve proper anatomic alignment of all fragments. After the fragments are reduced, temporary wire fixation may be utilized to stabilize the fracture while confirming anatomic reduction through radiographic imaging. Once the alignment is verified, internal fixation devices, such as pins or screws, are applied as needed to secure the fracture. The procedure concludes with the irrigation of the wound and the closure of the incisions, ensuring a clean and secure healing environment for the patient.