CPT® Code 28705

Arthrodesis of the ankle, specifically referred to as pantalar arthrodesis in CPT® Code 28705, is a surgical procedure aimed at fusing the ankle joint to alleviate severe pain and restore function. This procedure is indicated for patients suffering from conditions such as severe arthritis, avascular necrosis of the bones that form the ankle joint, or complications arising from a failed total ankle arthroplasty. Additionally, it is performed to correct deformities resulting from trauma, congenital anomalies like untreated clubfoot, or deformities associated with neuromuscular diseases. The pantalar arthrodesis involves the fusion of the talus with all the bones it articulates with, which includes the distal tibia, calcaneus, tarsonavicular, and cuboid bones. The surgical approach typically involves a long longitudinal incision over the lateral aspect of the ankle, allowing for adequate exposure and manipulation of the involved structures. This procedure is designed to provide stability and pain relief, ultimately improving the patient's quality of life by restoring mobility and function to the affected foot and ankle region.