scooter1
Expert
Doctor states he did a Brunelli reconstruction, wrist.
Doctor states 26485, but I am thinking 25320, but not sure. Please help . . . .
dorsal scapholunate ligament was identified & seen to be completely torn without any remnants of ligament remaining, this is a very early stage I scapholunate ligament disassociation. Scaphoid was reduced by traction along the thumb. I microfractured the eburnated area & prepared for a Brunelli reconstruction. Separate incision performed over the volar aspect of the wrist along the flexor carpi radialis. guidewire was used to guide the drill for a hole volar to dorsal thru the distal scaphoid. Flexor carpi radialis was identified at the wrist & 1/3 was taken proximally thru small incision. Tendon was then threaded back to the STT region level & then thrreaded thru scaphoid volar to dorsal. Pulling on the tendon, we reduced the scapholunate interval quite solidly. a Mitek anchor was then used to anchor the base. Through multiple pass-through w/overlapping sutures, I fixed the graft dorsally, transferring the FCR volar to dorsal across the distal pole of the scaphoid reducing the distal portion of the scaphoid back to normal
Doctor states 26485, but I am thinking 25320, but not sure. Please help . . . .
dorsal scapholunate ligament was identified & seen to be completely torn without any remnants of ligament remaining, this is a very early stage I scapholunate ligament disassociation. Scaphoid was reduced by traction along the thumb. I microfractured the eburnated area & prepared for a Brunelli reconstruction. Separate incision performed over the volar aspect of the wrist along the flexor carpi radialis. guidewire was used to guide the drill for a hole volar to dorsal thru the distal scaphoid. Flexor carpi radialis was identified at the wrist & 1/3 was taken proximally thru small incision. Tendon was then threaded back to the STT region level & then thrreaded thru scaphoid volar to dorsal. Pulling on the tendon, we reduced the scapholunate interval quite solidly. a Mitek anchor was then used to anchor the base. Through multiple pass-through w/overlapping sutures, I fixed the graft dorsally, transferring the FCR volar to dorsal across the distal pole of the scaphoid reducing the distal portion of the scaphoid back to normal
