Wiki Finger fx's

[rodenmich]

Help with codes:


The nail bed was intact. However, there was circumferential
laceration over the volar distal interphalangeal joint region.
This communicated with the open distal phalanx fracture.
The most-radial aspect of the base of the distal phalanx was
pulled distally and was attached to the flexor tendon. I
reduced this fragment and pinned it with a K-wire. I then
reduced the contralateral base of the distal phalanx with a
K-wire crossing the distal interphalangeal joint. When I was
finished, I had excellent reduction and a stable fixation.
This, indeed, placed the flexor tendon back into its anatomic
position. The wound, which I did extend, was copiously
irrigated and closed with interrupted 4-0 nylon.

We then turned our attention to the ring finger. There was a
nail bed injury. The nail bed was removed. The complex
laceration was repaired with interrupted 4-0 nylon. The patient
had a displaced distal phalanx fracture which was transverse in
nature. I then was able to place a K-wire across the fracture
site and obtain anatomic alignment of the distal phalanx. C-arm
imaging confirmed excellent reduction of both fractures and
again was irrigated. It was placed in a bulky sterile dressing.
The patient was extubated and transferred to PACU in stable
condition.

 

[mbort]

I am sure there are several of us willing to help, but rather than to code it for you, please tell us what your code/codes of choice are then we can respond by either agreeing, offer suggestions or pointing you in a different direction with suggestions. By doing it this way, it becomes more of a learning tool.

thanks