© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 28645 pertains to the open treatment of a dislocation occurring at the metatarsophalangeal joint, which is the joint connecting the metatarsal bones of the foot to the proximal phalanges of the toes. This joint plays a crucial role in foot function, allowing for movement and weight-bearing activities. In this surgical procedure, a surgical incision is made directly over the dislocated joint to access and visualize the area. The dislocated joint is then carefully reduced, meaning it is repositioned back into its normal anatomical alignment. To ensure stability and proper healing of the joint, internal fixation devices, such as wires or pins, may be utilized as necessary. Following the reduction and fixation, the surgical site is thoroughly irrigated to prevent infection, and the incision is subsequently closed using sutures. This procedure is essential for restoring normal function and alleviating pain associated with the dislocation of the metatarsophalangeal joint.
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